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Internet-based cognitive behaviour therapy and physical exercise - Effects studied by automated telephone assessments in mental ill-health patients; a randomized controlled trial.
- Source :
- British Journal of Clinical Psychology; Nov2016, Vol. 55 Issue 4, p414-428, 15p, 1 Diagram, 4 Charts, 1 Graph
- Publication Year :
- 2016
-
Abstract
- Objectives Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy ( ICBT) and physical exercise ( PE) compared with treatment as usual ( TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances. Methods The study comprised 879 patients with mental ill-health taking part in the REGASSA study. Data were collected by Interactive Voice Response ( IVR), a computerized, automated telephone technique. The treatments were compared at baseline, twice during treatment, at the end of treatment and at three follow-ups after treatment. Measures used were the Outcome Questionnaire-45, the short versions of the Perceived Stress Scale, and the Karolinska Sleep Questionnaire. Results Linear mixed models showed that the patients in ICBT and PE had better results than in TAU on psychological functioning and sleep disturbances, p < .001 , with weak-to-moderate effect sizes. On stress there were no differences; all groups made improvements. Women had stronger effects than men. More patients recovered on psychological functioning ( OQ-45) in ICBT and PE than in TAU. Conclusions Internet-based cognitive behaviour therapy and PE proved to be effective treatment alternatives for patients with mild-to-moderate mental ill-health in improving psychological functioning, stress, and sleep disturbances and could be useful alternatives in primary care. Practitioner points Internet-based cognitive behaviour therapy and physical exercise proved to be effective treatment alternatives for mental ill-health patients in primary care., Automated techniques (Interactive Voice Response) could be useful for following treatment course in large groups of patients in the health care., It is important to use measures that capture different aspects of patients' health problems., The recruitment of participants was based on patients' interest and inclusion criteria which may have affect the generalizability. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANTIDEPRESSANTS
MENTAL depression
MENTAL illness treatment
CHI-squared test
COGNITIVE therapy
COMPUTER assisted instruction
CONFIDENCE intervals
EXERCISE
LONGITUDINAL method
COMPUTERS in medicine
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
HEALTH self-care
STATISTICS
TELEPHONES
THERAPEUTICS
MATHEMATICAL variables
DATA analysis
EFFECT sizes (Statistics)
ANXIETY disorders
RANDOMIZED controlled trials
TREATMENT effectiveness
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 01446657
- Volume :
- 55
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- British Journal of Clinical Psychology
- Publication Type :
- Academic Journal
- Accession number :
- 118507829
- Full Text :
- https://doi.org/10.1111/bjc.12111