Quality of Life Outcomes in Internet-Delivered (Space from Depression) Treatment for Depression

Enrique, Ángel; Burke, John J.; Richards, Derek; Timulák, Ladislav

doi:10.1007/s11482-018-9654-8

Cited by 4 publications

(6 citation statements)

References 31 publications

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“…However, perhaps developers of the technology could use new features to ameliorate this. In addition to the above negative experiences of eCBT, previous qualitative studies of eCBT have also found that some patients can report deteriorating in response to it (Richards and Timulak, 2013; Enrique et al , 2018; Burke et al , 2018; Richards et al , 2018a). However, it should be acknowledged that negative responses to therapy can occur with face-to-face therapy.…”

Section: Discussionmentioning

confidence: 97%

“…some include telephone or face-to-face consultations (Lillevoll et al , 2013; Richards and Timulak, 2013; Wilhelmsen et al , 2013; Johansson et al , 2015; Richards et al ., 2016; Earley et al , 2017; Walsh and Richards, 2017; Burke et al , 2018; Richards et al , 2018a). A number of studies have used questionnaire methods which limit the depth of analysis of patient experience possible (Richards and Timulak, 2013; Richards et al , 2016; Enrique et al , 2018; Burke et al , 2018; Richards et al ., 2018a). Even studies that have used interviews to collect the data have not always used very ‘deep’ qualitative methodology, including how the data were analysed and presented (Holst et al , 2017), e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Particularly in qualitative research, this social desirability bias of the researcher might affect interpretation of the data (Mehra, 2002). Some studies have acknowledged that patients can deteriorate whilst using eCBT, but this has not been discussed in much depth (Richards and Timulak, 2013; Enrique et al ., 2018; Richards et al ., 2018a).…”

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: Discussionmentioning

confidence: 97%

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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“…However, the effect size increased from small to moderate over time. Recent findings suggest that higherorder constructs such as quality of life or life satisfaction may take more time to change with iCBT than with face-to-face CBT (Enrique et al, 2018;Hofmann et al, 2014;Kolovos et al, 2016). This may be because iCBT programs typically target mild to moderate symptoms of anxiety and depression, making changes in quality of life more gradual (Enrique et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Recent findings suggest that higherorder constructs such as quality of life or life satisfaction may take more time to change with iCBT than with face-to-face CBT (Enrique et al, 2018;Hofmann et al, 2014;Kolovos et al, 2016). This may be because iCBT programs typically target mild to moderate symptoms of anxiety and depression, making changes in quality of life more gradual (Enrique et al, 2018). iCBT is also briefer than CBT; as people continue to practise the skills that they have learned, positive changes may start to occur in other life areas thereby affecting quality of life and life satisfaction as found in other iCBT studies (Dear et al, 2015;Titov et al, 2015a).…”

Section: Discussionmentioning

confidence: 99%

Facilitating access to iCBT: a randomized controlled trial assessing a translated version of an empirically validated program using a minimally monitored delivery model

Robichaud

Talbot

Titov

et al. 2019

Behav. Cogn. Psychother.

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Background:Despite its established efficacy, access to internet-delivered CBT (iCBT) remains limited in a number of countries. Translating existing programs and using a minimally monitored model of delivery may facilitate its dissemination across countries.Aims:This randomized control trial aims to evaluate the efficacy of an iCBT transdiagnostic program translated from English to French and offered in Canada using a minimally monitored delivery model for the treatment of anxiety and depression.Method:Sixty-three French speakers recruited in Canada were randomized to iCBT or a waiting-list. A French translation of an established program, the Wellbeing Course, was offered over 8 weeks using a minimally monitored delivery model. Primary outcome measures were the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), which were obtained pre-treatment, post-treatment and at 3-month follow-up.Results:Mixed-effects models revealed that participants in the treatment group had significantly lower PHQ-9 and GAD-7 scores post-treatment than controls with small between-groups effect sizes (d = 0.34 and 0.37, respectively). Within-group effect sizes on primary outcome measures were larger in the treatment than control group. Clinical recovery rates on the PHQ-9 and GAD-7 were significantly higher among the treatment group (40 and 56%, respectively) than the controls (13 and 16%, respectively).Conclusions:The provision of a translated iCBT program using a minimally monitored delivery model may improve patients’ access to treatment of anxiety and depression across countries. This may be an optimal first step in improving access to iCBT before sufficient resources can be secured to implement a wider range of iCBT services.

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The effect of internet-delivered cognitive behavioral therapy for depression and anxiety on quality of life: A meta-analysis of randomized controlled trials

Maj,

Michalak,

Graczykowska

et al. 2023

Internet Interventions

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Quality of Life Outcomes in Internet-Delivered (Space from Depression) Treatment for Depression

Cited by 4 publications

References 31 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

Facilitating access to iCBT: a randomized controlled trial assessing a translated version of an empirically validated program using a minimally monitored delivery model

The effect of internet-delivered cognitive behavioral therapy for depression and anxiety on quality of life: A meta-analysis of randomized controlled trials

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