Gilbody, Simon orcid.org/0000-0002-8236-6983, Brabyn, Sally orcid.org/0000-0001-5381-003X, Lovell, Karina et al. (13 more authors) (2017) Telephone-supported computerised cognitive-behavioural therapy:REEACT-2 large-scale pragmatic randomised controlled trial. The British journal of psychiatry : the journal of mental science. pp. 362-367. ISSN 1472-1465
Abstract
BackgroundComputerised cognitive-behavioural therapy (cCBT) for depression has the potential to be efficient therapy but engagement is poor in primary care trials.AimsWe tested the benefits of adding telephone support to cCBT.MethodWe 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.ResultsUse 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.ConclusionsTelephone 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 |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © The Royal College of Psychiatrists 2017. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details |
Keywords: | Journal Article,Anxiety Disorders/therapy,Telephone,Depressive Disorder/therapy,Humans,Male,Treatment Outcome,Therapy, Computer-Assisted/methods,Medication Adherence,Remote Consultation/methods,Adult,Female,Cognitive Behavioral Therapy/methods |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Hull York Medical School (York) The University of York > Faculty of Sciences (York) > Health Sciences (York) The University of York > Faculty of Arts and Humanities (York) > Language and Linguistic Science (York) The University of York > Faculty of Sciences (York) > Computer Science (York) |
Depositing User: | Pure (York) |
Date Deposited: | 16 May 2017 15:20 |
Last Modified: | 09 Dec 2024 00:10 |
Published Version: | https://doi.org/10.1192/bjp.bp.116.192435 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1192/bjp.bp.116.192435 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:116567 |
Download
Filename: Gilbody_REEACT_2_BJPsych_Oct_2016_REVISED_MANUSCRIPT.docx
Description: Gilbody_REEACT_2_BJPsych_Oct_2016_REVISED_MANUSCRIPT