Online CBT Is Effective in Overcoming Cultural and Language Barriers in Patients With Depression

Alavi, Nazanin; Hirji, A.; Sutton, Chloe; Naeem, Farooq

doi:10.1097/pra.0000000000000119

Cited by 35 publications

(34 citation statements)

References 18 publications

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“…After dual review of titles and abstracts to determine if the citation could meet eligibility criteria, 1,365 RCTs were selected for full-text dual review. Of these, 280 RCTs met the inclusion criteria and are included in the evidence map: Adler et al, 2015;Alavi et al, 2016;Alegria et al, 2014;Allen et al, 2016;Andersson et al, 2005;Andersson, Carlbring, and Furmark, 2012;Andersson et al, 2006;Andersson, Hesser, et al, 2013;Andersson et al, 2009;Andersson, Waara, et al, 2013;Andrews, Davies, and Titov, 2011;Arean et al, 2016;Au, 2015;Bae and Panuncio, 2008;Baikie, Geerligs, and Wilhelm, 2012;Beard and Amir, 2008;Bee et al, 2010;Beevers et al, 2017;Berger, Boettcher, and Caspar, 2014;Berger, Hämmerli, et al, 2011;Berger, Hohl, and Caspar, 2009;Berger et al, 2016;Bergström et al, 2010;Birney et al, 2016;Blackwell et al, 2015;Boeschoten et al, 2016;Boettcher, Aström, et al, 2014;Boettcher, Berger, and Renneberg, 2012;Boettcher, Hasselrot, et al, 2014;Boettcher et al, 2013;Bombardier et al, 2013;Bornas, Tortella-Feliu, and Llabrés, 2006;Botella et al, 2010;Botella et al, 2016;Bouchard et al, 2004;Brabyn et al, 2016;…”

Section: 'Results'mentioning

confidence: 99%

The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

Maher¹,

Apaydin²,

Raaen³

et al. 2019

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Section: 'Results'mentioning

confidence: 99%

The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

Maher¹,

Apaydin²,

Raaen³

et al. 2019

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“…Further studies of the efficacy of e-CBT via PowerPoint in adolescents would also benefit from a longer follow-up period to determine the duration of the treatment effects. However, previous studies examining e-CBT via PowerPoint for depression given to adults were immediately effective and the results were evident at the 6-month follow-up [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…With over 2.5 billion people worldwide using the internet [ 9 ], the research, development, and use of computer-based CBT (e-CBT) has been booming due to its potential to reduce many barriers of traditional face-to-face therapies [ 10 ]. E-CBT is very cost-effective and increases treatment accessibility and adherence to individuals where mental health resources are lacking [ 11 , 12 ]. Many patients have reported e-CBT as preferable due to its convenience, confidentiality, and reduction of perceived stigma [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioural Therapy through PowerPoint: Efficacy in an Adolescent Clinical Population with Depression and Anxiety

Alavi

Stefanoff

Hirji

et al. 2018

International Journal of Pediatrics

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Background Limited help-seeking behaviours, among adolescents with mental health concerns and many barriers to accessing mental health services, make innovative approaches to administering mental health therapies crucial. Therefore, this study evaluated the efficacy of e-CBT given via PowerPoint slides to treat adolescents with anxiety and/or depression. Method 15 adolescents referred to an outpatient adolescent psychiatry clinic to treat a primary DSM-IV diagnosis of anxiety and/or depression chose between 8 weeks of e-CBT (n=7) or 7 weeks of live CBT (n=8). The e-CBT modules were presented using PowerPoint delivered weekly through email by either a senior psychiatry resident or an attending physician. Within each session, participants in both groups had personalized feedback on their mandatory weekly homework assignment from the previous week's module. BYIs were completed before treatment and and after final treatment within both groups to assess changes in depression, anxiety, anger, disruption, and self-concept. Findings Before treatment, BYI scores did not sig. differ between groups. After treatment, e-CBT participants reported sig. improved depression, anger, anxiety, and self-concept BYI scores while live CBT participants did not report any sig. changes. Only the Beck Anxiety Inventory sig. differed between groups after CBT. Conclusion Despite the low sample size within this study, using email to deliver e-CBT PowerPoint slides and individualized homework feedback shows promise as an alternate method of CBT delivery that reduces barriers to receiving mental health treatment that occur internationally.

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“…Similarly, racism as a barrier to access to help and as a cause for the emotional and mental health problem has been previously reported (Rathod et al, 2010;Ward and Brown, 2015). There is also evidence to suggest that using online platforms for delivering CBT might address cultural barriers (Alavi et al, 2016). This work encourages us to discuss the client's religious and cultural beliefs and to engage the client as experts not only in their problems but also in their culture and religion.…”

Section: Summary and Discussionmentioning

confidence: 62%

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

Naeem

2019

tCBT

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Cognitive behavioural therapy (CBT) in its current form might not be acceptable to service users from a variety of backgrounds. Therefore, it makes sense to adapt CBT when working with diverse populations. Contributors to this special issue of theCognitive Behaviour Therapisthave tackled the issues around the cultural adaptation of CBT from various perspectives, using a variety of methods, and have addressed topics ranging from cultural adaptation to improving access to CBT. Here, I briefly summarize and discuss the papers in this special issue. I start with a systematic review of CBT for social anxiety across cultures. Seven articles cover aspects of adaptation of therapies for people from different backgrounds. Three papers discuss the issues of gender and sexuality when using CBT, while another three papers focus on refugees, asylum seekers and the homeless, and two papers describe the application of CBT with religious populations. Finally, there are seven papers on issues related to service delivery, practice and training and supervision when working with a diverse population. Collectively, papers in this special issue provide us with sufficient evidence that cultural considerations play a vital role when using CBT, offer practical suggestions for improving cultural competence and most importantly, can catalyse future research. However, the full potential of culturally adapted interventions will not be realized until and unless access to CBT is improved. Therefore, there is a need to build robust evidence to convince funders, policy makers and service managers.

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Online CBT Is Effective in Overcoming Cultural and Language Barriers in Patients With Depression

Abstract: Email is a viable method for delivering CBT to individuals when face-to-face interaction is not possible. Limitations and future directions are discussed.

Cited by 35 publications

References 18 publications

The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

Cognitive Behavioural Therapy through PowerPoint: Efficacy in an Adolescent Clinical Population with Depression and Anxiety

Cultural adaptations of CBT: a summary and discussion of the Special Issue on Cultural Adaptation of CBT

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