Randomized controlled trial of internet-delivered cognitive behaviour therapy comparing standard weekly versus optional weekly therapist support
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Internet-delivered cognitive behaviour therapy (ICBT) is effective for treating anxiety and depression. The relative benefits of offering standard weekly compared to optional weekly therapist support in conjunction with ICBT within routine care has not been examined. Patients seeking ICBT for depression and or anxiety in routine care were randomized to standard (n=92) or optional (n=88) weekly support. The optional approach resulted in therapists receiving half as many messages from (1.70 vs. 3.96) and sending half as many messages to patients (3.62 vs. 7.29). Optional Support was associated with lower completion rates (56.6% versus 82.4%), but, similar to Standard Support, resulted in large reductions on the GAD-7 (within Cohen's d≥1.08; avg. reduction ≥47%) and PHQ-9 (within Cohen's d≥0.82; avg. reduction ≥43%) at post-treatment and 3-month follow-up. Optional weekly support appears clinically effective and acceptable for many patients and may reduce costs, but safety requires monitoring given lower completion rates.
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Outcomes are comparable with varying support (once-weekly support compares to optional support, twice-weekly support, and one-business-day support).
“Furthermore, outcomes are comparable with varying support (i.e., once-weekly support compares to optional support, 17,18 twice-weekly support, 19 and one-business-day support 20 ).”
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Self-citationUse of Patient-Reported Outcome Measures to Assess the Effectiveness of Hybrid Psychiatric Visits
O’Brien, V. C., Kablinger, A. S., Ko, H., Jones, S. B., McNamara, R. S., Phenes, A. R., Hankey, M. S., Gatto, A. J., Tenzer, M. M., Sharp, H. D., et al. (2024) · Psychiatric Services · doi:10.1176/appi.ps.20230355 · Cited by 3 · see citing works
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Peynenburg, V. A., Sapkota, R. P., Lozinski, T., Sundström, C., Wilhelms, A., Titov, N., Dear, B. F., & Hadjistavropoulos, H. D. (2023) · JMIR Mental Health · doi:10.2196/44722 · Cited by 3 · see citing works
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“Moreover, first evidence suggests that characteristics of the guidance, such as the frequency of supportive monitoring [23], type of reminder (eg, phone, email), and the experience or training of the support person [24], do not have a significant influence on GAD symptom reduction.”
BackgroundInternet-based Cognitive Behavior Therapy untuk Mengurangi Kecemasan Sosial pada Dewasa Awal
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Internet-based psychotherapies
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Neurocognitive Mechanisms for Detecting Early Phase of Depressive Disorder
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Integrative Pain Management in Perioperative Cancer Care
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Self-citation
- Authors
- Hadjistavropoulos, H. D., Schneider, L. H., Edmonds, M., Karin, E., Nugent, M. N., Dirkse, D., Dear, B. F., & Titov, N.
- Affiliations
- University of Regina (CA)
- Macquarie University (AU)
- Corresponding author
- Hadjistavropoulos, H.D.
- ORCID
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2017-12
- Volume
- 52
- Pages
- 15-24
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2759073417
- Cited by
- 71
- References
- 51
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 11 · 2023: 12 · 2022: 11 · 2021: 12 · 2020: 9 · 2019: 9 · 2018: 3
- FWCI
- 6.59
- 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
- Rx & D 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, treatment completion, anxiety, depression, generalized anxiety disorder, PHQ-9, GAD-7, usual care, therapist workload, acceptability, cost reduction
- MeSH terms
- Patient Health Questionnaire, Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Male, Social Support, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Remote Consultation, Internet
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