Internet-Based Psychological and Oral Medical Treatment Compared to Psychological Treatment Alone for ED

McCabe, Marita P.; Price, Emily

doi:10.1111/j.1743-6109.2008.00885.x

Cited by 24 publications

(18 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research had clearly demonstrated that ED has an impact on the female partner [18] and that the overall quality of life of female partners improves when the ED is treated [5]. These findings would suggest that whether the treatment regime is principally medical [2] or psychological [19], it is more likely to be effective if the partner is involved in the treatment process. The findings clearly highlight the importance of a multidisciplinary approach to the treatment of sexual dysfunction [20].…”

Section: Discussionmentioning

confidence: 96%

The Impact of Oral ED Medication on Female Partners’ Relationship Satisfaction

McCabe

O’Connor

Conaglen

et al. 2011

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Research has demonstrated that erectile dysfunction (ED) is a couple’s problem, and that treatment for this condition is likely to impact on the man and his partner. Aim The current study utilized a qualitative approach to evaluate the impact of treatment for ED on the female partner’s perception of changes in the relationship. Main Outcome Measures Analyses of the transcripts from the interviews. Methods In total, 96 men were treated for ED using tadalafil and then sildenafil (or vice versa) each for 3 months. Their female partners were interviewed 3 months after the commencement of treatment. Results The findings demonstrated an overall positive effect of the treatment. Female partners perceived improvements in emotional closeness, and communication, and reported that their relationship was more loving, less stressful, and more stable. Conclusions This study demonstrates the positive effects of treatment for ED on the female partner; in particular, on her perception of the quality of her relationship.

show abstract

Section: Discussionmentioning

confidence: 96%

The Impact of Oral ED Medication on Female Partners’ Relationship Satisfaction

McCabe

O’Connor

Conaglen

et al. 2011

The Journal of Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…Gains during the therapy period were shown to be largely maintained at follow-up. Probably reporting on the same study sample, McCabe and Price reported that participants who received Internet therapy combined with medication reported similar results as participants who received Internet therapy alone [14].…”

Section: Introductionmentioning

confidence: 84%

Internet-Based Brief Sex Therapy for Heterosexual Men with Sexual Dysfunctions: A Randomized Controlled Pilot Trial

Lankveld

Leusink

Diest³

et al. 2009

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Internet-based sex therapy for men with erectile dysfunction has been advocated as an easily accessible and cost-effective treatment. Aim To test whether Internet-based sex therapy is superior to waiting list. Methods Internet-based therapy was administered to heterosexual men with erectile dysfunction or premature ejaculation, without face-to-face contact, in a waiting-list controlled design, with pre-, post-, and follow-up measurements at 3 and 6 months posttreatment. Treatment was based on the sensate-focus model of Masters and Johnson, and supplemented with cognitive restructuring techniques. Main Outcome Measures Self-reported improvement of sexual functioning, erectile functioning (men with ED), premature ejaculation (men with PE), sexual desire, overall sexual satisfaction, and sexual self-confidence. Results Ninety-eight men participated (58 ED, 40 PE). Sexual functioning was much or somewhat improved in 40 participants (48%). In participants with ED, a near significant effect of treatment was found (P = 0.065), with higher levels of sexual desire (P < 0.05) and sexual self-confidence (P = 0.05) in treated men, in addition to improved erectile functioning (P = 0.01) and overall sexual satisfaction (P < 0.001) in both groups. In participants with PE, treatment was not superior to waiting list. In participants with ED, erectile functioning (P < 0.05) and overall sexual satisfaction (P = 0.002) improved significantly. In participants with PE, latency to ejaculation (P < 0.001), sexual desire (P < 0.05), and overall sexual satisfaction (P < 0.05) improved significantly from baseline to posttreatment, with no further changes at both follow-ups. Sexual self-confidence in men with PE remained unchanged during treatment until follow-up at 3 months posttreatment, and then was found to be improved at 6-months follow-up (P < 0.05). Conclusion Internet-based sex therapy for male erectile dysfunction was efficacious for male erectile disorder. For men with premature ejaculation, however, treatment was not superior to waiting list.

show abstract

“…Web-based interventions for psychological conditions have been found to have a moderate to large effect size [1,2] that is comparable to face-to-face interventions [3-5]. However, in a review of Web-based interventions, the median proportion of users completing all modules in a trial was 56% [6].…”

Section: Introductionmentioning

confidence: 99%

Rethinking the Dose-Response Relationship Between Usage and Outcome in an Online Intervention for Depression: Randomized Controlled Trial

Donkin¹,

Hickie²,

Christensen³

et al. 2013

J Med Internet Res

174

View full text Add to dashboard Cite

BackgroundThere is now substantial evidence that Web-based interventions can be effective at changing behavior and successfully treating psychological disorders. However, interest in the impact of usage on intervention outcomes has only been developed recently. To date, persistence with or completion of the intervention has been the most commonly reported metric of use, but this does not adequately describe user behavior online. Analysis of alternative measures of usage and their relationship to outcome may help to understand how much of the intervention users may need to obtain a clinically significant benefit from the program.ObjectiveThe objective of this study was to determine which usage metrics, if any, are associated with outcome in an online depression treatment trial.MethodsCardiovascular Risk E-couch Depression Outcome (CREDO) is a randomized controlled trial evaluating an unguided Web-based program (E-couch) based on cognitive behavioral therapy and interpersonal therapy for people with depression and cardiovascular disease. In all, 280 participants in the active arm of the trial commenced the program, delivered in 12 modules containing pages of text and activities. Usage data (eg, number of log-ins, modules completed, time spent online, and activities completed) were captured automatically by the program interface. We estimated the association of these and composite metrics with the outcome of a clinically significant improvement in depression score on the Patient Health Questionnaire (PHQ-9) of ≥5 points.ResultsIn all, 214/280 (76.4%) participants provided outcome data at the end of the 12-week period and were included in the analysis. Of these, 94 (43.9%) participants obtained clinically significant improvement. Participants logged into the program an average of 18.7 times (SD 8.3) with most (62.1%, 133/214) completing all 12 modules. Average time spent online per log-in was 17.3 minutes (SD 10.5). Participants completed an average of 9 of 18 activities available within the program. In a multivariate regression model, only the number of activities completed per log-in was associated with a clinically significant outcome (OR 2.82, 95% CI 1.05-7.59). The final model predicted 7.4% of variance in outcome. Curve estimates indicated that significant logarithmic (P=.009) and linear (P=.002) relationships existed between activities completed per log-in and clinically significant change.ConclusionsOnly one objective measure of usage was independently associated with better outcome of a Web-based intervention of known effectiveness. The 4 usage metrics retained in the final step of the regression accounted for little outcome variance. Medium level users appeared to have little additional benefit compared to low users indicating that assumptions of a linear relationship between use and outcome may be too simplistic and further models and variables need to be explored to adequately understand the relationship.Trial RegistrationAustralian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12610000085077; http:...

show abstract

Internet-Based Psychological and Oral Medical Treatment Compared to Psychological Treatment Alone for ED

Cited by 24 publications

References 30 publications

The Impact of Oral ED Medication on Female Partners’ Relationship Satisfaction

The Impact of Oral ED Medication on Female Partners’ Relationship Satisfaction

Internet-Based Brief Sex Therapy for Heterosexual Men with Sexual Dysfunctions: A Randomized Controlled Pilot Trial

Rethinking the Dose-Response Relationship Between Usage and Outcome in an Online Intervention for Depression: Randomized Controlled Trial

Contact Info

Product

Resources

About