Gilbody, S., Brabyn, S., Lovell, K. et al. (13 more authors) (2017) Telephone-supported computerised cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled trial. British Journal of Psychiatry, 210 (5). pp. 362-367. ISSN 0007-1250
Abstract
Background
Computerised cognitive–behavioural therapy (cCBT) for depression has the potential to be efficient therapy but engagement is poor in primary care trials.
Aims
We tested the benefits of adding telephone support to cCBT.
Method
We compared telephone-facilitated cCBT (MoodGYM) (n = 187) to minimally supported cCBT (MoodGYM) (n = 182) in a pragmatic randomised trial (trial registration: ISRCTN55310481). Outcomes were depression severity (Patient Health Questionnaire (PHQ)-9), anxiety (Generalized Anxiety Disorder Questionnaire (GAD)-7) and somatoform complaints (PHQ-15) at 4 and 12 months.
Results
Use of cCBT increased by a factor of between 1.5 and 2 with telephone facilitation. At 4 months PHQ-9 scores were 1.9 points lower (95% CI 0.5–3.3) for telephone-supported cCBT. At 12 months, the results were no longer statistically significant (0.9 PHQ-9 points, 95% CI −0.5 to 2.3). There was improvement in anxiety scores and for somatic complaints.
Conclusions
Telephone facilitation of cCBT improves engagement and expedites depression improvement. The effect was small to moderate and comparable with other low-intensity psychological interventions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Royal College of Psychiatrists 2017. This is an author produced version of a paper subsequently published in British Journal of Psychiatry. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Funding Information: | Funder Grant number UNIVERSITY OF YORK R1110803 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 01 Dec 2016 15:20 |
Last Modified: | 24 Sep 2024 09:32 |
Status: | Published |
Publisher: | Royal College of Psychiatrists |
Refereed: | Yes |
Identification Number: | 10.1192/bjp.bp.116.192435 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:108717 |