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Can the Patient Decide Which Modules to Endorse? An Open Trial of Tailored Internet Treatment of Anxiety Disorders
Open accessAbstract
Internet-delivered cognitive behaviour therapy commonly consists of disorder-specific modules that are based on face-to-face manuals. A recent development in the field is to tailor the treatment according to patient profile, which has the potential to cover comorbid conditions in association with anxiety and mood disorders. However, it could be that the patients themselves are able to decide what modules to use. The authors tested this in an open pilot trial with 27 patients with mixed anxiety disorders. Modules were introduced with a brief description, and patients could choose which modules to use. The exception was the two first modules and the last, which involved psychoeducation and relapse prevention. The treatment period lasted for 10 weeks. Results showed large within-group effect sizes, with an average Cohen's d of 0.88. In a structured clinical interview, a majority (54%) had significantly improved 10 weeks after commencing treatment. Only one person dropped out. On the basis of results of this preliminary study, the authors suggest that the role of choice and tailoring should be further explored in controlled trials and that patient choice could be incorporated into Internet-delivered treatment packages.
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“Two previous trials have been conducted on tailored Internet-based treatment for anxiety disorders with comorbid anxiety and depression [17,18].”
From Individually Tailored Internet-Based Treatment for Young Adults and Adults With Panic Attacks: Randomized Controlled Trial (2012) · cites this paper as [18]
In the citing paper
“The results of this trial, although focused on individuals with reoccurring panic attacks, are hence in line with previous trials of tailored iCBT for anxiety [17,18].”
From Individually Tailored Internet-Based Treatment for Young Adults and Adults With Panic Attacks: Randomized Controlled Trial (2012) · cites this paper as [18]
In the citing paper
“An example is the study of Andersson et al [42] where users of a Web-based treatment of anxiety disorders could choose which modules they wanted to engage in.”
From How to increase reach and adherence of web-based interventions: a design research viewpoint (2015) · cites this paper as [42]
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“Personalization at the content level has been used in Web-based interventions only sparsely.”
From How to increase reach and adherence of web-based interventions: a design research viewpoint (2015) · cites this paper as [42]
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Käll, A., & Andersson, G. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1341495
Self-citation
Metadata
- Authors
- Andersson, G., Estling, F., Jakobsson, E., Cuijpers, P., & Carlbring, P.
- Affiliations
- Linköping University (SE)
- Vrije Universiteit Amsterdam (NL)
- Umeå University (SE)
- Corresponding author
- Andersson, Gerhard
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2011-03
- Volume
- 40
- Issue
- 1
- Pages
- 57-64
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2107491217
- Cited by
- 102
- References
- 41
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 6 · 2023: 8 · 2022: 10 · 2021: 10 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 8 · 2016: 8 · 2015: 5 · 2014: 9 · 2013: 8 · 2012: 8
- FWCI
- 11.98
- Type
- journal article
- Language
- en
- Open access
- green
- research.vu.nl
- Licence
- other-oa
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Forskningsrådet för Arbetsliv och Socialvetenskap
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- internet-based cognitive behavioral therapy, tailored treatment, patient choice, anxiety disorders, treatment modules, psychoeducation, relapse prevention
- MeSH terms
- Adult, Anxiety Disorders, Female, Humans, Male, Middle Aged, Patient Participation, Psychiatric Status Rating Scales, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Internet
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