Experiences and engagement with the design features and strategies of an internet-delivered treatment programme for generalised anxiety disorder: a service-based evaluation

Walsh, Amy; Richards, Derek

doi:10.1080/03069885.2016.1153039

Cited by 23 publications

(55 citation statements)

References 30 publications

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“…This need for greater support has also been found for eCBT, even with telephone contact (Holst et al , 2017), so the finding that participants in this study felt they could form a therapeutic relationship online seems a significant improvement: Knowles et al (2015) theorised that greater support could enhance the experience for patients, and this appears to be the case. The current study fleshes out and supports the findings of previous studies into eCBT by providing more detail about how patients can positively experience the supporter's presence and feedback (Richards and Timulak, 2013; Wilhelmsen et al , 2013; Richards et al , 2016; Earley et al , 2017; Walsh and Richards, 2017; Burke et al , 2018; Richards et al , 2018a).…”

Section: Discussionsupporting

confidence: 84%

“…Previous studies have also indicated that eCBT is most beneficial for patients who are conscientious, high achieving and goal driven, i.e. motivated, who have mild/moderate problems, and who are unwilling or unable to engage in face-to-face therapy (Richards and Timulak, 2013; Wilhelmsen et al ., 2013; Richards et al , 2016; Earley et al ., 2017; Holst et al , 2017; Walsh and Richards, 2017; Burke et al , 2018; Richards et al , 2018a). One study that focused on depression and generalized anxiety disorder in particular, found that patients can experience the treatment as demanding (in terms of content and concentration requirements); difficult without face-to-face support; and as lacking sufficient introductory information (Johansson et al , 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Earley et al , 2017; Richards et al , 2018), is that much of it has been conducted or supervised by people who have developed the eCBT programme under investigation, or who have connections to them, e.g. Walsh and Richards, 2017. Particularly in qualitative research, this social desirability bias of the researcher might affect interpretation of the data (Mehra, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Patient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study

Perera-Delcourt

Sharkey

2019

tCBT

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Computerized cognitive behavioural therapy (cCBT) has been developed to address economic and clinical issues around limited access to evidence-based therapy. Supported cCBT (variously termed iCBT or eCBT) has been developed to address issues with the effectiveness of, and engagement with, cCBT. There has been no in-depth qualitative exploration of the patient experience of eCBT within the UK, which might aid improving its effectiveness. The aim of this study was to explore patient experience of eCBT in one inner-city National Health Service (NHS) Improving Access to Psychological Therapies (IAPT) service using a semi-structured interview and Thematic Analysis methodology. Ten patients took part. Six main themes were identified: (1) Being Offered eCBT; (2) How eCBT Compares with Self-help; (3) The Patient's State of Mind; (4) The Relationship with the Supporter; (5) Preferring to Talk; (6) eCBT's Value as a Treatment. Participants in this study indicated a preference for face-to-face talking therapy, but were clear that they could form a therapeutic relationship via asynchronous messaging. They reported clinical benefit from the eCBT programme and online relationship, and acknowledged that accessing this immediately was valuable. Issues around the process of selecting patients for eCBT, including with regard to acknowledging or mitigating any negative emotional effects of eCBT, and how to offer and support users with it, are discussed.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study

Perera-Delcourt

Sharkey

2019

tCBT

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“…It is also possible that the small number of users participating in the usability test limited the number of opinions regarding improvements to the program. Such limitations have been reported in similar studies [ 53 , 54 ].…”

Section: Discussionmentioning

confidence: 53%

“…An important characteristic of the PAADD is that it includes the participation of counselors who provide feedback according to the motivational interviewing techniques. This element is intended to strengthen adherence, as it has been shown that the inclusion of health professionals has a positive influence on retention and motivation of participants in such programs [ 53 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Web-Based Intervention to Reduce Substance Abuse and Depressive Symptoms in Mexico: Development and Usability Test

Tiburcio¹,

Lara²,

Abrego³

et al. 2016

JMIR Ment Health

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BackgroundThe development of Web-based interventions for substance abuse in Latin America is a new field of interest with great potential for expansion to other Spanish-speaking countries.ObjectiveThis paper describes a project aimed to develop and evaluate the usability of the Web-based Help Program for Drug Abuse and Depression (Programa de Ayuda para Abuso de Drogas y Depresión, PAADD, in Spanish) and also to construct a systematic frame of reference for the development of future Web-based programs.MethodsThe PAADD aims to reduce substance use and depressive symptoms with cognitive behavioral techniques translated into Web applications, aided by the participation of a counselor to provide support and guidance. This Web-based intervention includes 4 steps: (1) My Starting Point, (2) Where Do I Want to Be? (3) Strategies for Change, and (4) Maintaining Change. The development of the program was an interactive multistage process. The first stage defined the core structure and contents, which were validated in stage 2 by a group of 8 experts in addiction treatment. Programming of the applications took place in stage 3, taking into account 3 types of end users: administrators, counselors, and substance users. Stage 4 consisted of functionality testing. In stage 5, a total of 9 health professionals and 20 drug users currently in treatment voluntarily interacted with the program in a usability test, providing feedback about adjustments needed to improve users’ experience.ResultsThe main finding of stage 2 was the consensus of the health professionals about the cognitive behavioral strategies and techniques included in PAADD being appropriate for changing substance use behaviors. In stage 5, the health professionals found the functionalities easy to learn; their suggestions were related to the page layout, inclusion of confirmation messages at the end of activities, avoiding “read more” links, and providing feedback about every activity. On the other hand, the users said the information presented within the modules was easy to follow and suggested more dynamic features with concrete instructions and feedback.ConclusionsThe resulting Web-based program may have advantages over traditional face-to-face therapies owing to its low cost, wide accessibility, anonymity, and independence of time and distance factors. The detailed description of the process of designing a Web-based program is an important contribution to others interested in this field. The potential benefits must be verified in specific studies.Trial RegistrationInternational Standard Randomized Controlled Trial Number (ISRCTN): 25429892; http://www.controlled-trials.com/ISRCTN25429892 (Archived by WebCite at http://www.webcitation.org/6ko1Fsvym)

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Digital Medicine – The New Frontier for AI in Healthcare

Teo

2020

Advanced Therapeutics

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Experiences and engagement with the design features and strategies of an internet-delivered treatment programme for generalised anxiety disorder: a service-based evaluation

Cited by 23 publications

References 30 publications

Patient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study

Patient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study

Web-Based Intervention to Reduce Substance Abuse and Depressive Symptoms in Mexico: Development and Usability Test

Digital Medicine – The New Frontier for AI in Healthcare

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