Telemedicine as a means of delivering cognitive-behavioural therapy to rural and remote mental health clients
Abstract
We explored the feasibility and acceptability of delivering cognitive-behavioural therapy (CBT) via videoconference to clients with depression and/or anxiety living in rural north Queensland. The study involved 15 mental health clients and their five case managers. First, each case manager was instructed in the use of telemedicine for clinical consultation, and given training in CBT. This was done via videoconference. Then the clients were introduced to telemedicine. Following six to eight intensive weekly sessions of CBT, there was improvement in certain clinical outcome measures (i.e. the Mental Health Inventory and the Health of the Nation Outcome Scale). There was a significant improvement (P<0.05 using a t-test) in the client Mental Health Inventory scores before (mean = 109) and after treatment (mean = 148). However, in the absence of a control condition, it was not possible to conclude that the treatment had a specific effect on the disorders studied. Both clients and case managers found telemedicine consultations acceptable. Clients' ratings ranged from 3 to 4.5, while case mangers' ratings ranged from 3 to 5 ('average' to 'much better than average').
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Only two studies have investigated the potential effectiveness of VCP specifically for patients with GAD.
“Only two studies have investigated the potential effectiveness of VCP specifically for patients with GAD.”
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- Authors
- Griffiths, L., Blignault, I., & Yellowlees, P.
- Affiliations
- Queensland Health (AU)
- UNSW Sydney (AU)
- University of California, Davis (US)
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2006-04-01
- Volume
- 12
- Issue
- 3
- Pages
- 136-140
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W1973456535
- Cited by
- 94
- References
- 0
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 4 · 2022: 9 · 2021: 7 · 2020: 3 · 2019: 1 · 2018: 8 · 2017: 6 · 2016: 4 · 2015: 7 · 2014: 8 · 2013: 8 · 2012: 4
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- telemedicine, cognitive behavioral therapy, videoconferencing, rural mental health, depression, anxiety, feasibility, acceptability, case managers, North Queensland
- MeSH terms
- Anxiety Disorders, Depressive Disorder, Feasibility Studies, Female, Humans, Male, Mental Health Services, Queensland, Rural Health, Cognitive Behavioral Therapy, Treatment Outcome, Rural Health Services, Remote Consultation, Videoconferencing
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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