Improving Adherence and Clinical Outcomes in Self- Guided Internet Treatment for Anxiety and Depression: Randomised Controlled Trial
MetadataShow full item record
This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.
Background: 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.Aims: 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.Method: 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).Results: 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.Conclusions: 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.
Showing items related by title, author, creator and subject.
Improving Adherence and Clinical Outcomes in Self-Guided Internet Treatment for Anxiety and Depression: A 12-Month Follow-Up of a Randomised Controlled TrialTitov, N.; Dear, B.; Johnston, L.; McEvoy, Peter; Wootton, B.; Terides, M.; Gandy, M.; Fogliati, V.; Kayrouz, R.; Rapee, R. (2014)Background: A recent paper reported the outcomes of a study examining a new self-guided internet-delivered treatment, the Wellbeing Course, for symptoms of anxiety or depression. This study found the intervention resulted ...
Six-month outcomes of a web-based intervention for users of amphetamine-type stimulants: Randomized controlled trialTait, Robert; McKetin, R.; Kay-Lambkin, F.; Carron-Arthur, B.; Bennett, A.; Bennett, K.; Christensen, H.; Griffiths, K. (2015)Background: The use of amphetamine-type stimulants (ATS) places a large burden on health services.Objective: The aim was to evaluate the effectiveness of a self-guided Web-based intervention (“breakingtheice”) for ATS ...
A web-based intervention for users of amphetamine-type stimulants: 3-month outcomes of a randomized controlled trialTait, Robert; McKetin, R.; Kay-Lambkin, F.; Carron-Arthur, B.; Bennett, A.; Bennett, K.; Christensen, H.; Griffiths, K. (2014)Background: Among illicit drugs, the prevalence of amphetamine-type stimulant (ATS) use is second only to cannabis. Currently, there are no approved pharmacotherapies for ATS problems, but some face-to-face psychotherapies ...