Technology-Based Advances in the Management of Depression: Focus on the COPE[TM] Program.

Depression remains under-recognised and under-treated despite it being more disabling than any other medical disorder and the availability of effective protocol-based psychotherapy and pharmacotherapy treatments. Prevailing psychotherapy seldom employs evidence-based treatments, continuing instead t...

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Detalles Bibliográficos
Publicado en:Disease Management & Health Outcomes Vol. 7; no. 4; pp. 193 - 201
Autores principales: Greist J, Osgood-Hynes D, Baer L, Marks I
Formato: Journal Article
Publicado: Springer Nature Apr2000
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Depression remains under-recognised and under-treated despite it being more disabling than any other medical disorder and the availability of effective protocol-based psychotherapy and pharmacotherapy treatments. Prevailing psychotherapy seldom employs evidence-based treatments, continuing instead the use of idiosyncratic psychotherapies of dubious value. Computer interview programs have been developed and evaluated that have the potential to make protocol-based psychotherapy of proven efficacy available over the Internet. Interactive voice response (IVR) makes these programs even more accessible through any touch-tone telephone. COPE[TM] is a self-help program for patients with depression that combines a series of booklets, videotapes and IVR telephone calls. One trial reported significant reductions in Hamilton Depression Rating Scale scores in patients with depression who completed a 12-week COPE[TM] program. Impediments to dissemination of these computer tools that complement, supplement and reinforce best practice values include developer's limited knowledge of business practices and the slow change of practice paradigms.