The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.

<h4>Background</h4>Depression is a common, recurrent, and debilitating problem and Internet delivered cognitive behaviour therapy (iCBT) could offer one solution. There are at least 25 controlled trials that demonstrate the efficacy of iCBT. The aim of the current paper was to evaluate t...

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Autores principales:	Alishia D Williams, Gavin Andrews
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d19c0f6efd794ec99fa55577102fbfc1
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spelling	oai:doaj.org-article:d19c0f6efd794ec99fa55577102fbfc12021-11-18T07:56:17ZThe effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.1932-620310.1371/journal.pone.0057447https://doaj.org/article/d19c0f6efd794ec99fa55577102fbfc12013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23451231/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Depression is a common, recurrent, and debilitating problem and Internet delivered cognitive behaviour therapy (iCBT) could offer one solution. There are at least 25 controlled trials that demonstrate the efficacy of iCBT. The aim of the current paper was to evaluate the effectiveness of an iCBT Program in primary care that had been demonstrated to be efficacious in two randomized controlled trials (RCTs).<h4>Method</h4>Quality assurance data from 359 patients prescribed the Sadness Program in Australia from October 2010 to November 2011 were included.<h4>Results</h4>Intent-to-treat marginal model analyses demonstrated significant reductions in depressive symptoms (PHQ9), distress (K10), and impairment (WHODAS-II) with medium-large effect sizes (Cohen's d = .51-1.13.), even in severe and/or suicidal patients (Cohen's d = .50-1.49.) Secondary analyses on patients who completed all 6 lessons showed levels of clinically significant change as indexed by established criteria for remission, recovery, and reliable change.<h4>Conclusions</h4>The Sadness Program is effective when prescribed by primary care practitioners and is consistent with a cost-effective stepped-care framework.Alishia D WilliamsGavin AndrewsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e57447 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Alishia D Williams Gavin Andrews The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.
description	<h4>Background</h4>Depression is a common, recurrent, and debilitating problem and Internet delivered cognitive behaviour therapy (iCBT) could offer one solution. There are at least 25 controlled trials that demonstrate the efficacy of iCBT. The aim of the current paper was to evaluate the effectiveness of an iCBT Program in primary care that had been demonstrated to be efficacious in two randomized controlled trials (RCTs).<h4>Method</h4>Quality assurance data from 359 patients prescribed the Sadness Program in Australia from October 2010 to November 2011 were included.<h4>Results</h4>Intent-to-treat marginal model analyses demonstrated significant reductions in depressive symptoms (PHQ9), distress (K10), and impairment (WHODAS-II) with medium-large effect sizes (Cohen's d = .51-1.13.), even in severe and/or suicidal patients (Cohen's d = .50-1.49.) Secondary analyses on patients who completed all 6 lessons showed levels of clinically significant change as indexed by established criteria for remission, recovery, and reliable change.<h4>Conclusions</h4>The Sadness Program is effective when prescribed by primary care practitioners and is consistent with a cost-effective stepped-care framework.
format	article
author	Alishia D Williams Gavin Andrews
author_facet	Alishia D Williams Gavin Andrews
author_sort	Alishia D Williams
title	The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.
title_short	The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.
title_full	The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.
title_fullStr	The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.
title_full_unstemmed	The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.
title_sort	effectiveness of internet cognitive behavioural therapy (icbt) for depression in primary care: a quality assurance study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/d19c0f6efd794ec99fa55577102fbfc1
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The effectiveness of Internet cognitive behavioural therapy (iCBT) for depression in primary care: a quality assurance study.

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