Changing the health‐care workforce

Cameron, Peter; Thompson, David R.

doi:10.1111/j.1440-172x.2005.00499.x

Cited by 8 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Long waiting lists caused by low workforce numbers are common [16]. Perceived social stigma, which hinders help seeking [17], and high costs [18] may discourage individuals with a psychiatric disorder from seeking professional help.…”

Section: Introductionmentioning

confidence: 99%

Internet-Delivered Interpersonal Psychotherapy Versus Internet-Delivered Cognitive Behavioral Therapy for Adults With Depressive Symptoms: Randomized Controlled Noninferiority Trial

Donker¹,

Bennett²,

Bennett³

et al. 2013

J Med Internet Res

141

View full text Add to dashboard Cite

BackgroundFace-to-face cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) are both effective treatments for depressive disorders, but access is limited. Online CBT interventions have demonstrated efficacy in decreasing depressive symptoms and can facilitate the dissemination of therapies among the public. However, the efficacy of Internet-delivered IPT is as yet unknown.ObjectiveThis study examines whether IPT is effective, noninferior to, and as feasible as CBT when delivered online to spontaneous visitors of an online therapy website.MethodsAn automated, 3-arm, fully self-guided, online noninferiority trial compared 2 new treatments (IPT: n=620; CBT: n=610) to an active control treatment (MoodGYM: n=613) over a 4-week period in the general population. Outcomes were assessed using online self-report questionnaires, the Center for Epidemiological Studies Depression scale (CES-D) and the Client Satisfaction Questionnaire (CSQ-8) completed immediately following treatment (posttest) and at 6-month follow-up.ResultsCompleters analyses showed a significant reduction in depressive symptoms at posttest and follow-up for both CBT and IPT, and were noninferior to MoodGYM. Within-group effect sizes were medium to large for all groups. There were no differences in clinical significant change between the programs. Reliable change was shown at posttest and follow-up for all programs, with consistently higher rates for CBT. Participants allocated to IPT showed significantly lower treatment satisfaction compared to CBT and MoodGYM. There was a dropout rate of 1294/1843 (70%) at posttest, highest for MoodGYM. Intention-to-treat analyses confirmed these findings.ConclusionsDespite a high dropout rate and lower satisfaction scores, this study suggests that Internet-delivered self-guided IPT is effective in reducing depressive symptoms, and may be noninferior to MoodGYM. The completion rates of IPT and CBT were higher than MoodGYM, indicating some progress in refining Internet-based self-help. Internet-delivered treatment options available for people suffering from depression now include IPT.Trial RegistrationInternational Standard Randomized Controlled Trial Number (ISRCTN): 69603913; http://www.controlled-trials.com/ISRCTN69603913 (Archived by WebCite at http://www.webcitation.org/6FjMhmE1o)

show abstract

Section: Introductionmentioning

confidence: 99%

Internet-Delivered Interpersonal Psychotherapy Versus Internet-Delivered Cognitive Behavioral Therapy for Adults With Depressive Symptoms: Randomized Controlled Noninferiority Trial

Donker¹,

Bennett²,

Bennett³

et al. 2013

J Med Internet Res

141

View full text Add to dashboard Cite

show abstract

“…1 Clinical practice guidelines for MDD treatment recommend long-term monitoring and guidance for patients with recurrent episodes and/or residual depressive symptoms [24,25,26]. However, resources are generally scarce and there is a limited availability of therapists [27,28]. Therefore, Internet-based CT including monitoring via text messages and therapist support by telephone (mobile CT) may be a feasible approach.…”

Section: Introductionmentioning

confidence: 99%

The Three-Month Effect of Mobile Internet-Based Cognitive Therapy on the Course of Depressive Symptoms in Remitted Recurrently Depressed Patients: Results of a Randomized Controlled Trial

Kok¹,

Burger

Riper

et al. 2015

Psychother Psychosom

View full text Add to dashboard Cite

Background: Internet-based cognitive therapy with monitoring via text messages (mobile CT), in addition to treatment as usual (TAU), might offer a cost-effective way to treat recurrent depression. Method: Remitted patients with at least 2 previous episodes of depression were randomized to mobile CT in addition to TAU (n = 126) or TAU only (n = 113). A linear mixed model was used to examine the effect of the treatment condition on a 3-month course of depressive symptoms after remission. Both an intention-to-treat analysis (n = 239) and a completer analysis (n = 193) were used. Depressive symptoms were assessed using the Inventory of Depressive Symptomatology (IDS-SR₃₀) at baseline and 1.5 and 3 months after randomization. Results: Residual depressive symptoms showed a small but statistically significant decrease in the intention-to-treat group over 3 months in the mobile CT group relative to the TAU group (difference: -1.60 points on the IDS-SR₃₀ per month, 95% CI = -2.64 to -0.56, p = 0.003). The effect of the treatment condition on the depressive symptomatology at the 3-month follow-up was small to moderate (Cohen's d = 0.44). All analyses among completers (≥5 modules) showed more pronounced treatment effects. Adjustment for unequally distributed variables did not markedly affect the results. Conclusions: Residual depressive symptoms after remission showed a more favorable course over 3 months in the mobile CT group compared to the TAU group. These results are a first indication that mobile CT in addition to TAU is effective in treating recurrently depressed patients in remission. However, demonstration of its long-term effectiveness and replication remains necessary.

show abstract

“…In contemporary health care systems where there is often limited access to services, a shortage or mal-distribution of nurses and doctors, increased dissatisfaction amongst patients, nurses and doctors, concerns about safety and quality and a discrepancy between the type of professionals being produced and what is required, there is a pressing need for genuine teamwork and collaboration between the two disciplines [9]. This is crucial for both patient care and health care team morale and necessitates excellent communication skills, respecting the value of collegial roles and relationship, the ability to share points of view and trust.…”

mentioning

confidence: 99%

Handmaiden or right-hand man: Is the relationship between doctors and nurses still therapeutic?

Thompson

Stewart

2007

International Journal of Cardiology

View full text Add to dashboard Cite

Changing the health‐care workforce

Cited by 8 publications

References 13 publications

Internet-Delivered Interpersonal Psychotherapy Versus Internet-Delivered Cognitive Behavioral Therapy for Adults With Depressive Symptoms: Randomized Controlled Noninferiority Trial

Internet-Delivered Interpersonal Psychotherapy Versus Internet-Delivered Cognitive Behavioral Therapy for Adults With Depressive Symptoms: Randomized Controlled Noninferiority Trial

The Three-Month Effect of Mobile Internet-Based Cognitive Therapy on the Course of Depressive Symptoms in Remitted Recurrently Depressed Patients: Results of a Randomized Controlled Trial

Handmaiden or right-hand man: Is the relationship between doctors and nurses still therapeutic?

Contact Info

Product

Resources

About