Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study

Nasreen Khatri, Elsa Marziali, Illia Tchernikov, Nancy ShepherdRotman Research Institute, Toronto, ON, CanadaBackground: The primary objective of this pilot study was to demonstrate reliable adherence to a group cognitive behavioral (CBT) therapy protocol when delivered using on-line video conferenc...

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Autores principales:	Khatri N, Marziali E, Tchernikov I, Shepherd N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	psychotherapy gerontology mood disorders computer based CBT Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/54ef27b2e4cc4fbe987421032b99e6f3
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spelling	oai:doaj.org-article:54ef27b2e4cc4fbe987421032b99e6f32021-12-02T06:11:59ZComparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study1178-1998https://doaj.org/article/54ef27b2e4cc4fbe987421032b99e6f32014-05-01T00:00:00Zhttps://www.dovepress.com/comparing-telehealth-based-and-clinic-based-group-cognitive-behavioral-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Nasreen Khatri, Elsa Marziali, Illia Tchernikov, Nancy ShepherdRotman Research Institute, Toronto, ON, CanadaBackground: The primary objective of this pilot study was to demonstrate reliable adherence to a group cognitive behavioral (CBT) therapy protocol when delivered using on-line video conferencing as compared with face-to-face delivery of group CBT. A secondary aim was to show comparability of changes in subject depression inventory scores between on-line and face-to-face delivery of group CBT.Methods: We screened 31 individuals, 18 of whom met the criteria for a DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) diagnosis of mood and/or anxiety disorder. All qualifying participants had the necessary equipment (computer, webcam, Internet) for participation in the study, but could exercise their preference for either the on-line or face-to-face format. Eighteen completed the 13 weekly session intervention program (ten face-to-face; eight video conferencing). We coded adherence to protocol in both intervention formats and generated pre–post changes in scores on the Beck Depression Inventory Second Edition (BDI-II) for each participant.Results: Application of the CBT protocol coding system showed reliable adherence to the group CBT intervention protocol in both delivery formats. Similarly, qualitative analysis of the themes in group discussion indicated that both groups addressed similar issues. Pre–post intervention scores for the BDI-II were comparable across the two delivery formats, with 60% of participants in each group showing a positive change in BDI-II severity classification (eg, from moderate to low symptoms).Conclusion: This pilot study demonstrates that group CBT could be delivered in a technology-supported environment (on-line video conferencing) and can meet the same professional practice standards and outcomes as face-to-face delivery of the intervention program.Keywords: psychotherapy, gerontology, mood disorders, computer-based, cognitive behavioral therapyKhatri NMarziali ETchernikov IShepherd NDove Medical Pressarticlepsychotherapygerontologymood disorderscomputer based CBTGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 765-770 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	psychotherapy gerontology mood disorders computer based CBT Geriatrics RC952-954.6
spellingShingle	psychotherapy gerontology mood disorders computer based CBT Geriatrics RC952-954.6 Khatri N Marziali E Tchernikov I Shepherd N Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
description	Nasreen Khatri, Elsa Marziali, Illia Tchernikov, Nancy ShepherdRotman Research Institute, Toronto, ON, CanadaBackground: The primary objective of this pilot study was to demonstrate reliable adherence to a group cognitive behavioral (CBT) therapy protocol when delivered using on-line video conferencing as compared with face-to-face delivery of group CBT. A secondary aim was to show comparability of changes in subject depression inventory scores between on-line and face-to-face delivery of group CBT.Methods: We screened 31 individuals, 18 of whom met the criteria for a DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) diagnosis of mood and/or anxiety disorder. All qualifying participants had the necessary equipment (computer, webcam, Internet) for participation in the study, but could exercise their preference for either the on-line or face-to-face format. Eighteen completed the 13 weekly session intervention program (ten face-to-face; eight video conferencing). We coded adherence to protocol in both intervention formats and generated pre–post changes in scores on the Beck Depression Inventory Second Edition (BDI-II) for each participant.Results: Application of the CBT protocol coding system showed reliable adherence to the group CBT intervention protocol in both delivery formats. Similarly, qualitative analysis of the themes in group discussion indicated that both groups addressed similar issues. Pre–post intervention scores for the BDI-II were comparable across the two delivery formats, with 60% of participants in each group showing a positive change in BDI-II severity classification (eg, from moderate to low symptoms).Conclusion: This pilot study demonstrates that group CBT could be delivered in a technology-supported environment (on-line video conferencing) and can meet the same professional practice standards and outcomes as face-to-face delivery of the intervention program.Keywords: psychotherapy, gerontology, mood disorders, computer-based, cognitive behavioral therapy
format	article
author	Khatri N Marziali E Tchernikov I Shepherd N
author_facet	Khatri N Marziali E Tchernikov I Shepherd N
author_sort	Khatri N
title	Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
title_short	Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
title_full	Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
title_fullStr	Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
title_full_unstemmed	Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
title_sort	comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/54ef27b2e4cc4fbe987421032b99e6f3
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Comparing telehealth-based and clinic-based group cognitive behavioral therapy for adults with depression and anxiety: a pilot study

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