Empirically Grounded Clinical Interventions Clients' and Referrers' Perceptions of Computer-Guided CBT (FearFighter)
Open accessAbstract
Background: Computer-guided CBT has been shown to be a potentially useful way of closing the gap between the demand and supply for CBT. Moreover, this approach has additional benefits in terms of less travel times for treatment, accessibility in remote and unusual locations, increased confidentiality, easier disclosure of sensitive information, and more egalitarian therapist-client interactions. Research on computerized CBT has concentrated on clinical outcomes, but the views of clients on this treatment approach have been relatively neglected. Aims: The aims were to assess client satisfaction, professionals' views, and ease of programme use after completion of treatment via an internet-based CBT programme for panic and phobic anxiety (FearFighter). Method: A feasibility and effectiveness study of FearFighter was conducted in remote and rural areas of Scotland. Treatment data are available for 35 clients at post-treatment, of whom 29 completed an 18-item set of rating scales designed to assess satisfaction, including ease of use, accessibility, how far needs were met, whether changes to the programme were required, the benefits and drawbacks of not having a therapist, and quality of support. Open-ended questions were included. Referring agencies were also asked to rate their views on FearFighter. Results: Clients reported moderate to high levels of improvement and of overall satisfaction; very few difficulties in logging on to and using the programme were encountered. Similar levels of satisfaction with the programme were reported by referrers. Conclusions: It is concluded that computer-guided CBT is acceptable to clients and to professionals, and that it could play a valuable part in a “stepped care” system of delivering CBT.
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Eight papers regarding six different trials measured rural location as a predictor of outcomes, adherence, or acceptability.
“Eight papers regarding six different trials measured rural location as a predictor of outcomes, adherence, or acceptability [38-45].”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [45]
The Method and Introduction describe a FearFighter study in rural Scotland that assessed clients’ satisfaction and referrers’ views. The Discussion reports satisfaction among rural patients, but does not report measuring rural location as a predictor of outcomes, adherence, or acceptability. This paper alone also cannot substantiate the citing sentence’s count of eight papers and six trials. (LLM, conf=0.85)
Experimental — accuracy not yet measuredOf the quasi-experimental studies, the risk in one study was unclear due to insufficient information on several variables and moderate in another, due to low numbers of participants completing the outcome measurements.
“Of the quasi-experimental studies, the risk in one study was unclear due to insufficient information on several variables [44] and moderate in another [45], due to low numbers of participants completing the outcome measurements.”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [45]
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- Authors
- MacGregor, A. D., Hayward, L., Peck, D. F., & Wilkes, P.
- Affiliations
- NHS Highland (GB)
- University of Edinburgh (GB)
- Corresponding author
- Peck, David F.
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2008-11-26
- Volume
- 37
- Issue
- 1
- Pages
- 1-9
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2158748444
- Cited by
- 43
- References
- 10
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 5 · 2014: 5 · 2013: 5 · 2012: 2
- FWCI
- 4.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- 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 CBT, panic disorder, phobic anxiety, client satisfaction, ease of use, accessibility (transport and spatial geography), stepped care, therapist-client interaction
- MeSH terms
- Adult, Aged, Anxiety Disorders, Feasibility Studies, Female, Humans, Male, Middle Aged, Phobic Disorders, Surveys and Questionnaires, Referral and Consultation, Rural Population, Scotland, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Panic Disorder, Patient Satisfaction, Empirical Research, Young Adult
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