Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial.
<h4>Background</h4>Depression and anxiety are common, disabling and chronic. Self-guided internet-delivered treatments are popular, but few people complete them. New strategies are required to realise their potential.<h4>Aims</h4>To evaluate the effect of automated emails on...
Guardado en:
| Autores principales: | , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2013
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/c3d6ad85bdfc4d5581ae6096c886c646 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:c3d6ad85bdfc4d5581ae6096c886c646 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:c3d6ad85bdfc4d5581ae6096c886c6462021-11-18T07:38:54ZImproving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial.1932-620310.1371/journal.pone.0062873https://doaj.org/article/c3d6ad85bdfc4d5581ae6096c886c6462013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23843932/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Depression and anxiety are common, disabling and chronic. Self-guided internet-delivered treatments are popular, but few people complete them. New strategies are required to realise their potential.<h4>Aims</h4>To evaluate the effect of automated emails on the effectiveness, safety, and acceptability of a new automated transdiagnostic self-guided internet-delivered treatment, the Wellbeing Course, for people with depression and anxiety.<h4>Method</h4>A randomised controlled trial was conducted through the website: www.ecentreclinic.org. Two hundred and fifty seven people with elevated symptoms were randomly allocated to the 8 week course either with or without automated emails, or to a waitlist control group. Primary outcome measures were the Patient Health Questionnaire 9-Item (PHQ-9) and the Generalized Anxiety Disorder 7-Item (GAD-7).<h4>Results</h4>Participants in the treatment groups had lower PHQ-9 and GAD-7 scores at post-treatment than controls. Automated emails increased rates of course completion (58% vs. 35%), and improved outcomes in a subsample with elevated symptoms.<h4>Conclusions</h4>The new self-guided course was beneficial, and automated emails facilitated outcomes. Further attention to strategies that facilitate adherence, learning, and safety will help realise the potential of self-guided interventions.<h4>Trial registration</h4>Australian and New Zealand Clinical Trials Registry ACTRN12610001058066.Nickolai TitovBlake F DearLuke JohnstonCarolyn LorianJudy ZouBethany WoottonBethany WoottonJay SpencePeter M McEvoyRonald M RapeePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 7, p e62873 (2013) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Nickolai Titov Blake F Dear Luke Johnston Carolyn Lorian Judy Zou Bethany Wootton Bethany Wootton Jay Spence Peter M McEvoy Ronald M Rapee Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| description |
<h4>Background</h4>Depression and anxiety are common, disabling and chronic. Self-guided internet-delivered treatments are popular, but few people complete them. New strategies are required to realise their potential.<h4>Aims</h4>To evaluate the effect of automated emails on the effectiveness, safety, and acceptability of a new automated transdiagnostic self-guided internet-delivered treatment, the Wellbeing Course, for people with depression and anxiety.<h4>Method</h4>A randomised controlled trial was conducted through the website: www.ecentreclinic.org. Two hundred and fifty seven people with elevated symptoms were randomly allocated to the 8 week course either with or without automated emails, or to a waitlist control group. Primary outcome measures were the Patient Health Questionnaire 9-Item (PHQ-9) and the Generalized Anxiety Disorder 7-Item (GAD-7).<h4>Results</h4>Participants in the treatment groups had lower PHQ-9 and GAD-7 scores at post-treatment than controls. Automated emails increased rates of course completion (58% vs. 35%), and improved outcomes in a subsample with elevated symptoms.<h4>Conclusions</h4>The new self-guided course was beneficial, and automated emails facilitated outcomes. Further attention to strategies that facilitate adherence, learning, and safety will help realise the potential of self-guided interventions.<h4>Trial registration</h4>Australian and New Zealand Clinical Trials Registry ACTRN12610001058066. |
| format |
article |
| author |
Nickolai Titov Blake F Dear Luke Johnston Carolyn Lorian Judy Zou Bethany Wootton Bethany Wootton Jay Spence Peter M McEvoy Ronald M Rapee |
| author_facet |
Nickolai Titov Blake F Dear Luke Johnston Carolyn Lorian Judy Zou Bethany Wootton Bethany Wootton Jay Spence Peter M McEvoy Ronald M Rapee |
| author_sort |
Nickolai Titov |
| title |
Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| title_short |
Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| title_full |
Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| title_fullStr |
Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| title_full_unstemmed |
Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| title_sort |
improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2013 |
| url |
https://doaj.org/article/c3d6ad85bdfc4d5581ae6096c886c646 |
| work_keys_str_mv |
AT nickolaititov improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT blakefdear improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT lukejohnston improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT carolynlorian improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT judyzou improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT bethanywootton improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT bethanywootton improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT jayspence improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT petermmcevoy improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial AT ronaldmrapee improvingadherenceandclinicaloutcomesinselfguidedinternettreatmentforanxietyanddepressionrandomisedcontrolledtrial |
| _version_ |
1718423188446117888 |