Can the Patient Decide Which Modules to Endorse? An Open Trial of Tailored Internet Treatment of Anxiety Disorders

Andersson, Gerhard; Estling, Fanny; Jakobsson, Ebba; Cuijpers, Pim; Carlbring, Per

doi:10.1080/16506073.2010.529457

Cited by 93 publications

(62 citation statements)

References 33 publications

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“…The language was adapted to suit the agegroup, see Table 1 for a detailed description. The modules were derived from previous studies on tailored ICBT for anxiety and depression (e.g., Andersson et al, 2011;Carlbring et al, 2011;Johansson et al, 2012;Bergman Nordgren et al, 2014;Silfvernagel et al, 2012). All modules were based on established and evidence-based CBT principles (e.g.…”

Section: Interventionmentioning

confidence: 99%

Individually tailored internet-based cognitive behavior therapy for adolescents with anxiety disorders: A pilot effectiveness study

Silfvernagel

Gren-Landell

Emanuelsson

et al. 2015

Internet Interventions

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Section: Interventionmentioning

confidence: 99%

Individually tailored internet-based cognitive behavior therapy for adolescents with anxiety disorders: A pilot effectiveness study

Silfvernagel

Gren-Landell

Emanuelsson

et al. 2015

Internet Interventions

Self Cite

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“…This is useful for creating BITs, as experts in behavior change often do not have the capability to program BITs on their own and need to team with technologists who do. We use the term content broadly to refer to anything that is provided to a user (eg, text, video, or audio) for didactic purposes; for example, text “lessons” that are commonly used in BITs such as Internet sites or mobile applications [13,22], assessments, notifications (email, secure messaging, in-phone notifications), or feedback. Although many behavioral scientists might see these as functionally different, we discuss them together because, from the vantage of the Purple system, they use similar or identical technical features.…”

Section: Purplementioning

confidence: 99%

Purple: A Modular System for Developing and Deploying Behavioral Intervention Technologies

Schueller¹,

Begale²,

Penedo³

et al. 2014

J Med Internet Res

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The creation, deployment, and evaluation of Web-based and mobile-based applications for health, mental health, and wellness within research settings has tended to be siloed, with each research group developing their own systems and features. This has led to technological features and products that are not sharable across research teams, thereby limiting collaboration, reducing the speed of dissemination, and raising the bar for entry into this area of research. This paper provides an overview of Purple, an extensible, modular, and repurposable system created for the development of Web-based and mobile-based applications for health behavior change. Purple contains features required to construct applications and to manage and evaluate research trials using these applications. Core functionality of Purple includes elements that support user management, content authorship, content delivery, and data management. We discuss the history and development of the Purple system guided by the rationale of producing a system that allows greater collaboration and understanding across research teams interested in investigating similar questions and using similar methods. Purple provides a useful tool to meet the needs of stakeholders involved in the creation, provision, and usage of eHealth and mHealth applications. Housed in a non-profit, academic institution, Purple also offers the potential to facilitate the diffusion of knowledge across the research community and improve our capacity to deliver useful and usable applications that support the behavior change of end users.

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“…The treatment included 10 modules with different themes, adapted to MI patients ( Table 1). The introduction module was compulsory and thereafter patients were able to choose which modules to work with, as informed by previous research suggesting tailored iCBT provides patients with more control while maintaining treatment quality [18]. Each module contained 2-4 treatment steps, with each step including a PDF with text-based psychoeducation, and one-to-two homework assignments.…”

Section: Interventionsmentioning

confidence: 99%

Internet-Based Cognitive Behavioral Therapy for Symptoms of Depression and Anxiety Among Patients With a Recent Myocardial Infarction: The U-CARE Heart Randomized Controlled Trial (Preprint)

Norlund¹,

Wallin²,

Olsson³

et al. 2017

Preprint

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Background: Symptoms of depression and anxiety are common after a myocardial infarction (MI). Internet-based cognitive behavioral therapy (iCBT) has shown good results in other patient groups. Objective: The aim was to evaluate the effectiveness of an iCBT treatment to reduce selfreported symptoms of depression and anxiety among patients with a recent MI. Methods: In total, 3928 patients were screened for eligibility in 25 Swedish hospitals. Of these, 239 patients (33% women, mean age 60 years) with a recent MI and symptoms of depression or anxiety were randomly allocated to a therapist-guided, 14 week iCBT treatment (n=117), or treatment as usual (n=122). The iCBT treatment was designed for post MI patients. The primary outcome was the total score of the Hospital Anxiety and Depression Scale (HADS) 14 weeks post baseline, assessed online. Treatment effect was evaluated according to the intention-to-treat principle, with multiple imputations. For the main analysis, a pooled treatment effect was estimated, controlling for age, sex, and baseline HADS. Results: There was a reduction in HADS scores over time in the total study sample (mean = -5.1, Δ P < .001) but no difference between the study groups at follow-up ( β = -0.47 [95% confidence interval, -1.95 to 1.00], P = .53). Treatment adherence was low. 46% of the iCBT group did not complete the introductory module. Conclusions: iCBT treatment for an MI population did not result in lower levels of symptoms of depression or anxiety compared to treatment as usual. Low treatment adherence might have influenced the result.

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Can the Patient Decide Which Modules to Endorse? An Open Trial of Tailored Internet Treatment of Anxiety Disorders

Cited by 93 publications

References 33 publications

Individually tailored internet-based cognitive behavior therapy for adolescents with anxiety disorders: A pilot effectiveness study

Individually tailored internet-based cognitive behavior therapy for adolescents with anxiety disorders: A pilot effectiveness study

Purple: A Modular System for Developing and Deploying Behavioral Intervention Technologies

Internet-Based Cognitive Behavioral Therapy for Symptoms of Depression and Anxiety Among Patients With a Recent Myocardial Infarction: The U-CARE Heart Randomized Controlled Trial (Preprint)

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