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Internet-delivered cognitive behaviour therapy for chronic health conditions: self-guided versus team-guided.
- Source :
- Journal of Behavioral Medicine; Oct2022, Vol. 45 Issue 5, p674-689, 16p, 1 Diagram, 3 Charts
- Publication Year :
- 2022
-
Abstract
- There is growing interest in offering Internet-delivered cognitive behaviour therapy (ICBT) to individuals with chronic health conditions, with this process often being guided by a single clinician. Due to lack of full time personnel, it is sometimes necessary to have multiple clinicians offer guidance or for no guidance to be offered. In this randomized trial, we compared team-guided ICBT (n = 90) to self-guided ICBT (n = 88). Participants completed measures at pre-, post-, and 3-months post-ICBT. Both groups showed similar rates of treatment completion and large improvements on depression and anxiety at post-treatment and follow-up. Unexpectedly, more participants in the self-guided versus team-guided condition showed clinically significant improvement on depression at post-treatment (76.5% vs 49.2%) and follow-up (70% vs 45.6%). Thus, team-guided ICBT may not provide significant benefits compared to self-guided ICBT. However, it may be an alternative approach to consider among a population of high risk individuals that wants or requires closer monitoring of symptoms. Trail registration TRN: NCT03500237; Date: April 18, 2018. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of mental depression
ANXIETY prevention
CHRONIC disease treatment
TEAMS in the workplace
INTERNET
CHRONIC diseases
MEDICAL care
TREATMENT effectiveness
RANDOMIZED controlled trials
COMPARATIVE studies
PRE-tests & post-tests
PATIENTS' attitudes
DESCRIPTIVE statistics
COGNITIVE therapy
HEALTH self-care
GROUP process
EVALUATION
SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 01607715
- Volume :
- 45
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 159303558
- Full Text :
- https://doi.org/10.1007/s10865-022-00346-x