Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.

<h4>Background</h4>Internet-based cognitive behavioural therapy (iCBT) is an effective and acceptable treatment for depression, especially when it includes guidance, but its treatment adherence has not yet been systematically studied. We conducted a meta-analysis, comparing the adherence...

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Autores principales:	Wouter van Ballegooijen, Pim Cuijpers, Annemieke van Straten, Eirini Karyotaki, Gerhard Andersson, Jan H Smit, Heleen Riper
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9648f42f21b545cba4b518b301e1963f
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spelling	oai:doaj.org-article:9648f42f21b545cba4b518b301e1963f2021-11-25T06:08:14ZAdherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.1932-620310.1371/journal.pone.0100674https://doaj.org/article/9648f42f21b545cba4b518b301e1963f2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25029507/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Internet-based cognitive behavioural therapy (iCBT) is an effective and acceptable treatment for depression, especially when it includes guidance, but its treatment adherence has not yet been systematically studied. We conducted a meta-analysis, comparing the adherence to guided iCBT with the adherence to individual face-to-face CBT.<h4>Methods</h4>Studies were selected from a database of trials that investigate treatment for adult depression (see www.evidencebasedpsychotherapies.org), updated to January 2013. We identified 24 studies describing 26 treatment conditions (14 face-to-face CBT, 12 guided iCBT), by means of these inclusion criteria: targeting depressed adults, no comorbid somatic disorder or substance abuse, community recruitment, published in the year 2000 or later. The main outcome measure was the percentage of completed sessions. We also coded the percentage of treatment completers (separately coding for 100% or at least 80% of treatment completed).<h4>Results</h4>We did not find studies that compared guided iCBT and face-to-face CBT in a single trial that met our inclusion criteria. Face-to-face CBT treatments ranged from 12 to 28 sessions, guided iCBT interventions consisted of 5 to 9 sessions. Participants in face-to-face CBT completed on average 83.9% of their treatment, which did not differ significantly from participants in guided iCBT (80.8%, P = .59). The percentage of completers (total intervention) was significantly higher in face-to-face CBT (84.7%) than in guided iCBT (65.1%, P < .001), as was the percentage of completers of 80% or more of the intervention (face-to-face CBT: 85.2%, guided iCBT: 67.5%, P = .003). Non-completers of face-to-face CBT completed on average 24.5% of their treatment, while non-completers of guided iCBT completed on average 42.1% of their treatment.<h4>Conclusion</h4>We did not find studies that compared guided iCBT and face-to-face CBT in a single trial. Adherence to guided iCBT appears to be adequate and could be equal to adherence to face-to-face CBT.Wouter van BallegooijenPim CuijpersAnnemieke van StratenEirini KaryotakiGerhard AnderssonJan H SmitHeleen RiperPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e100674 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wouter van Ballegooijen Pim Cuijpers Annemieke van Straten Eirini Karyotaki Gerhard Andersson Jan H Smit Heleen Riper Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
description	<h4>Background</h4>Internet-based cognitive behavioural therapy (iCBT) is an effective and acceptable treatment for depression, especially when it includes guidance, but its treatment adherence has not yet been systematically studied. We conducted a meta-analysis, comparing the adherence to guided iCBT with the adherence to individual face-to-face CBT.<h4>Methods</h4>Studies were selected from a database of trials that investigate treatment for adult depression (see www.evidencebasedpsychotherapies.org), updated to January 2013. We identified 24 studies describing 26 treatment conditions (14 face-to-face CBT, 12 guided iCBT), by means of these inclusion criteria: targeting depressed adults, no comorbid somatic disorder or substance abuse, community recruitment, published in the year 2000 or later. The main outcome measure was the percentage of completed sessions. We also coded the percentage of treatment completers (separately coding for 100% or at least 80% of treatment completed).<h4>Results</h4>We did not find studies that compared guided iCBT and face-to-face CBT in a single trial that met our inclusion criteria. Face-to-face CBT treatments ranged from 12 to 28 sessions, guided iCBT interventions consisted of 5 to 9 sessions. Participants in face-to-face CBT completed on average 83.9% of their treatment, which did not differ significantly from participants in guided iCBT (80.8%, P = .59). The percentage of completers (total intervention) was significantly higher in face-to-face CBT (84.7%) than in guided iCBT (65.1%, P < .001), as was the percentage of completers of 80% or more of the intervention (face-to-face CBT: 85.2%, guided iCBT: 67.5%, P = .003). Non-completers of face-to-face CBT completed on average 24.5% of their treatment, while non-completers of guided iCBT completed on average 42.1% of their treatment.<h4>Conclusion</h4>We did not find studies that compared guided iCBT and face-to-face CBT in a single trial. Adherence to guided iCBT appears to be adequate and could be equal to adherence to face-to-face CBT.
format	article
author	Wouter van Ballegooijen Pim Cuijpers Annemieke van Straten Eirini Karyotaki Gerhard Andersson Jan H Smit Heleen Riper
author_facet	Wouter van Ballegooijen Pim Cuijpers Annemieke van Straten Eirini Karyotaki Gerhard Andersson Jan H Smit Heleen Riper
author_sort	Wouter van Ballegooijen
title	Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
title_short	Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
title_full	Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
title_fullStr	Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
title_full_unstemmed	Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
title_sort	adherence to internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/9648f42f21b545cba4b518b301e1963f
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Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis.

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