Transdiagnostic Internet-delivered cognitive behaviour therapy in Canada: An open trial comparing results of a specialized online clinic and nonspecialized community clinics
Open accessAbstract
Effects of Internet-delivered cognitive behaviour therapy (ICBT) for anxiety and depression are not well understood when delivered in non-specialized as compared to specialized clinic settings. This open trial (n=458 patients) examined the benefits of transdiagnostic-ICBT when delivered in Canada by therapists (registered providers or graduate students) working in either a specialized online clinic or one of eight nonspecialized community clinics. Symptoms of depression and anxiety were assessed at pre-treatment, post-treatment and at 3-month follow-up. Completion rates and satisfaction were high. Significant and large reductions (effect sizes 1.17-1.31) were found on symptom measures. Completion rates, satisfaction levels and outcomes did not differ whether ICBT was delivered by therapists working in a specialized online clinic or nonspecialized community clinics. Differences were also not found between registered providers and graduate students, or therapists trained in psychology or another discipline. The findings support the public health potential of ICBT.
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Past research on the Wellbeing Course has shown outcomes are strong whether delivered by therapists who specialise in iCBT or by therapists who primarily deliver face-to-face treatment.
“Past research on the Wellbeing Course has shown outcomes are strong whether delivered by therapists who specialise in iCBT or by therapists who primarily deliver face-to-face treatment. 15,16”
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Self-citationKouvonen, A. M., Mänty, M., Harkko, J., Sumanen, H., Konttinen, H. M., Lahti, J., Pietiläinen, O. P. H., Blomgren, J., Tuovinen, E., Ketonen, E.-L., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032119 · Cited by 9 · see citing works
Titov, N., Rock, D. J., Bezuidenhout, G., Webb, N., Kayrouz, R., Nielssen, O. B., Williams, L., Purtell, C., Dear, B. F., & Staples, L. (2019) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2019.1666162 · Cited by 9 · see citing works
Self-citationDaPonte, D., Talbot, F., Titov, N., Dear, B. F., Hadjistavropoulos, H. D., Hadjistavropoulos, T., & Jbilou, J. (2018) · Behaviour Change · doi:10.1017/bec.2018.14 · Cited by 9 · see citing works
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Self-citationLiou, K. T., McConnell, K. M., Currier, M. B., Baser, R. E., MacLeod, J., Walker, D. A. H., Casaw, C., Wong, G., Piulson, L., Popkin, K., et al. (2023) · JMIR Research Protocols · doi:10.2196/46281 · Cited by 10 · see citing works
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“…PSP Wellbeing Course is a transdiagnostic iCBT course for PSP adapted from a previous Canadian iCBT course, the Wellbeing Course, which was initially developed at the Macquarie University in Australia and has been successful in treating a range of symptoms in Australia [28-31] and Canada [32-35].”
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“This organizational model appears uncommon compared to centralized clinics delivering treatments to larger catchment areas or even nationally (Andersson and Hedman, 2013; Hadjistavropoulos et al., 2016).”
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A review of Online Psychological Interventions
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Self-citation
- Authors
- Hadjistavropoulos, H. D., Nugent, M. M., Alberts, N. M., Staples, L., Dear, B. F., & Titov, N.
- Affiliations
- University of Regina (CA)
- University of Washington (US)
- Macquarie University (AU)
- Corresponding author
- Hadjistavropoulos, H.D.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 42
- Pages
- 19-29
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2385404460
- Cited by
- 103
- References
- 40
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 11 · 2021: 5 · 2020: 18 · 2019: 17 · 2018: 15 · 2017: 8 · 2016: 3
- FWCI
- 21.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Anxiety Disorders (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (293379)
- Saskatchewan Health Research Foundation
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- internet-based cognitive behavioral therapy, transdiagnostic treatment, anxiety, depression, community clinics, therapist training, treatment completion, patient satisfaction
- MeSH terms
- Adult, Anxiety, Anxiety Disorders, Canada, Depression, Depressive Disorder, Female, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome, Remote Consultation, Internet
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