@Home eTherapy Service for People with Common Mental Health Problems: an Evaluation
Open accessAbstract
Background: Ensuring rapid access to psychological interventions is a priority of mental health services. The involvement of peer workers to support the delivery of more accessible treatment options such as computerized cognitive behaviour therapy (CCBT) is recognized. Aims: To evaluate the implementation of a third sector remote CCBT @Home eTherapy service for people experiencing common mental health problems supported by individuals with lived experience. Method: Supported CCBT packages with telephone support were delivered over a 30-month period. Self-complete measures identifying levels of depression, anxiety and functioning were administered at each treatment appointment. Results: Over 2000 people were referred to the @Home eTherapy service; two-thirds attended an initial assessment and 53.4% of referrals assigned to CCBT completed treatment. Statistically significant improvements in anxiety, depression and functioning were found, with 61.6% of treated clients meeting recovery criteria. Conclusions: The service meets Improving Access to Psychological Therapies (IAPT) key performance targets, and is comparable to other IAPT services using CCBT. Evidence for the successful implementation of such a service by a third sector organization is provided.
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Removing outlier studies [47-49] and the depression group in Ruwaard et al [50] did not result in meaningful changes in depression effect sizes (g=1.18, 95% CI 1.09-1.26), but reduced heterogeneity (I2=75%; 95% CI 42-86; P<.001).
“Removing these studies [47-49], and the depression group in the study by Ruwaard et al [50], from the analysis did not result in meaningful changes in effect sizes (g=1.18, 95% CI 1.09-1.26), but reduced heterogeneity (I2=75%; 95% CI 42-86; P<.001).”
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Cites
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Peer support in mental health services
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“…with fewer web-based sessions completed [50]. iCBT support has been delivered in many ways [56]: in person [55,59], over email [38,64,71], by telephone [23,40,55,64,69,71], through the iCBT platform [23,45,50,55,63,66], through videoconferencing software [63], or by SMS text message [23].”
InfluentialCluster randomised controlled trial of a guided self-help mental health intervention in primary care
Mathieson, F. M., Stanley, J., Collings, S. C., Tester, R., & Dowell, A. C. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023481 · Cited by 9 · see citing works
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“, 2017), of related CCBT services, and of similarities and differences in the support offered (Gellatly et al., 2018).”
Clinician- vs non-clinician-supported eTherapy for anxiety and depression
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“While e-CBT has already proven productive and scalable for treating anxiety disorders [10,16-19], developing less-intensive interventions that still benefit patients could allow for even more scalability.”
Ragan, K., Kelly, C., & Thwaites, R. (2024) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x24000345
“Research suggests that this method of delivering therapy is as beneficial as other low-intensity treatments (Arnberg et al ., 2014; Gellatly et al ., 2018), although there are some conflicting findings (Gilbody et al., 2015).”
Self-citationJensen, E. K., Lichtenstein, M. B., Riper, H. M., & Mathiasen, K. (2026) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.70058
“…routine care iCBT studies (34%–66.2% and 20%–61.6%, respectively) (Flygare et al. 2020; Ritola et al. 2022; El Alaoui et al. 2015; Hedman et al. 2014, 2013; Ruwaard et al. 2012; Gellatly et al. 2018; Nordgreen et al. 2019, 2018; Nordgreen, Gjestad, Andersson, and et al. 2018; Titov et al. 2018).”
Influential
- Authors
- Gellatly, J., Chisnall, L., Seccombe, N., Ragan, K., Lidbetter, N., & Cavanagh, K.
- Affiliations
- University of Manchester (GB)
- University of Sussex (GB)
- Corresponding author
- Gellatly, Judith
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2017-05-16
- Volume
- 46
- Issue
- 1
- Pages
- 115-120
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2612281458
- Cited by
- 10
- References
- 7
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 1
- FWCI
- 0.62
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion, other-oa)
- Sussex Research Online (University of Sussex) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- remote psychological intervention, peer support workers, lived experience, Improving Access to Psychological Therapies, common mental disorders, depression, anxiety, treatment attendance, service implementation, telephone support
- MeSH terms
- Adult, Anxiety, Anxiety Disorders, Depression, Depressive Disorder, Female, Humans, Male, Mental Health, Mental Health Services, Middle Aged, Referral and Consultation, Telephone, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Self Report
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