The Acceptability of Computer-Aided Cognitive Behavioural Therapy: A Pragmatic Study

Cavanagh, Kate; Shapiro, David A.; Berg, Susan; Swain, Sharon; Barkham, Michael; Proudfoot, Judy

doi:10.1080/16506070802561256

Cited by 45 publications

(40 citation statements)

References 42 publications

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“…This is comparable with other Internet-based samples for prolonged grief, PTSD [19,22] and other mental disorders [60,61,62,63]. In fact, Internet-based interventions seem as yet unable to rise to the challenge of engaging less well-educated people [64].…”

Section: Discussionmentioning

confidence: 48%

Brief Internet-Based Intervention Reduces Posttraumatic Stress and Prolonged Grief in Parents after the Loss of a Child during Pregnancy: A Randomized Controlled Trial

Kersting

Dölemeyer

Steinig

et al. 2013

Psychother Psychosom

171

185

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Background: The loss of a child during pregnancy causes significant psychological distress for many women and their partners, and may lead to long-lasting psychiatric disorders. Internet-based interventions using exposure techniques and cognitive restructuring have proved effective for posttraumatic stress disorder (PTSD) and prolonged grief. This study compared the effects of an Internet-based intervention for parents after prenatal loss with a waiting list condition (WLC). Methods: The Impact of Event Scale - Revised assessed symptoms of PTSD; the Inventory of Complicated Grief and the Brief Symptom Inventory assessed depression, anxiety, and general mental health. The 228 participants (92% female) were randomly allocated to a treatment group (TG; n = 115) or a WLC group (n = 113). The TG received a 5-week cognitive behavioral intervention including (1) self-confrontation, (2) cognitive restructuring, and (3) social sharing. Results: The TG showed significantly reduced symptoms of posttraumatic stress, prolonged grief, depression, and anxiety relative to the WLC control group. Intention-to-treat analysis revealed treatment effects of between d = 0.84 and d = 1.02 for posttraumatic stress and prolonged grief from pre- to posttreatment time points. Further significant improvement in all symptoms of PTSD and prolonged grief was found from the posttreatment evaluation to the 12-month follow-up. The attrition rate of 14% was relatively low. Conclusions: The Internet-based intervention proved to be a feasible and cost-effective treatment, reducing symptoms of posttraumatic stress, grief, depression, anxiety, and general mental health after pregnancy loss. Low-threshold e-health interventions should be further evaluated and implemented routinely to improve psychological support after pregnancy loss.

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Section: Discussionmentioning

confidence: 48%

Brief Internet-Based Intervention Reduces Posttraumatic Stress and Prolonged Grief in Parents after the Loss of a Child during Pregnancy: A Randomized Controlled Trial

Kersting

Dölemeyer

Steinig

et al. 2013

Psychother Psychosom

171

185

View full text Add to dashboard Cite

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“…This is a controversial topic on which the literature is not conclusive (e.g., Whitfield & Williams, 2004;Cavanagh et al, 2009). We hypothesized that expectations and satisfaction would be high for all three treatment conditions.…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Versus Computer-Aided Exposure Treatments for Fear of Flying

et al. 2010

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Evidence is growing that two modalities of computer-based exposure therapies—virtual reality and computer-aided psychotherapy—are effective in treating anxiety disorders, including fear of flying. However, they have not yet been directly compared. The aim of this study was to analyze the efficacy of three computer-based exposure treatments for fear of flying: virtual reality exposure therapy (VRET), computer-aided exposure with a therapist’s (CAE-T) assistance throughout exposure sessions, and self-administered computer-aided exposure (CAE-SA). A total of 60 participants with flying phobia were randomly assigned to VRET, CAE-T, or CAE-SA. Results indicate that the three interventions were effective in reducing fear of flying at posttreatment and at 1-year follow-up; furthermore, there were no significant differences between them in any of the outcome measure. Large within-group effect sizes were found for all three treatment conditions at both posttreatment and at follow-up. The results suggest that therapist involvement might be minimized during computer-based treatments and that CAE can be as effective as VRET in reducing fear of flying.

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“…Respondents were asked if they were hypothetically interested in using various resources, but it may have been hard for them to envision these resources and decide if they would indeed be helpful. Research has indicated that the opportunity to view a demonstration of online mental health resources enhances the credibility and acceptability of those resources among potential participants [18,19] , therefore it is possible that we may have obtained a more accurate measure of interest by showing respondents examples of relevant resources.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Internet Use in Older Primary Care Patients

2011

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Background: Adults aged 65 years and older stand to benefit from the accumulating wealth of Internet-based health resources, including online interventions to assist in the self-management of chronic health conditions. However, concerns have been expressed that lesser Internet use and familiarity among older adults may limit the utility of web-based health interventions in older age groups. As these interventions become more prevalent, it is important to understand older adults’ receptivity to using the Internet as a tool in managing healthcare. Objective: The purpose of the present study was to gauge the extent to which older primary care patients are receptive to using web-based health resources, and to explore how health-related Internet use may be related to patient characteristics such as age, income, and health and mental health status. Methods: We surveyed 50 adults aged 65 years and older in a Veterans Administration primary care clinic regarding: (1) Internet use for any purpose, (2) Internet use to obtain health or mental-related information, and (3) interest in using Internet-based interventions to address various health-related needs. A substantial proportion of respondents were in their 70s, 80s, and 90s, and many had multiple medical conditions. Results: Nearly three-quarters of older primary care patients in our sample were regular Internet users and over half had experience in using the Internet to search for health information. The majority of Internet users endorsed an interest in using web-based resources to manage various aspects of their health and mental healthcare. Conclusions: Our results support the conclusion that older primary care patients, including those among the oldest-old and those with multiple medical conditions, are amenable to using the Internet as a means of enhancing healthcare.

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The Acceptability of Computer-Aided Cognitive Behavioural Therapy: A Pragmatic Study

Cited by 45 publications

References 42 publications

Brief Internet-Based Intervention Reduces Posttraumatic Stress and Prolonged Grief in Parents after the Loss of a Child during Pregnancy: A Randomized Controlled Trial

Brief Internet-Based Intervention Reduces Posttraumatic Stress and Prolonged Grief in Parents after the Loss of a Child during Pregnancy: A Randomized Controlled Trial

Virtual Reality Versus Computer-Aided Exposure Treatments for Fear of Flying

Health-Related Internet Use in Older Primary Care Patients

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