In-Clinic and Standalone Internet Cognitive Behavior Therapy Treatment for Social Anxiety in Stuttering: A Randomized Trial of iGlebe.
Purpose: iGlebe is an individualized, fully automated Internet cognitive behavior therapy (CBT) treatment program that requires no clinician contact. Phase I and II trials have demonstrated that it may be efficacious for treating the social anxiety commonly associated with stuttering. The present tr...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 62; no. 6; pp. 1614 - 1625 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Jun2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=137096446&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 137096446 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Jun2019 vid: 62 iid: 6 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 137096446 10.1044/2019_JSLHR-S-18-0340 ppf: 1614 ppct: 11 formats: fmt: @attributes: type: P size: 836KB tig: atl: In-Clinic and Standalone Internet Cognitive Behavior Therapy Treatment for Social Anxiety in Stuttering: A Randomized Trial of iGlebe. aug: au: Menzies, Ross G. Packman, Ann Onslow, Mark O'Brian, Sue Jones, Mark Helgadóttir, Fjóla Dögg affil: Australian Stuttering Research Centre, The University of Sydney, New South Wales School of Public Health, The University of Queensland, Brisbane, Australia su: Australia Social anxiety Cognitive therapy Randomized controlled trials Analysis of variance Internet Psychology Quality of life Speech Evaluation of human services programs Therapeutics Stuttering Analysis of covariance Questionnaires Research funding Statistical sampling Treatment effectiveness Data analysis software Descriptive statistics sug: subj: Social anxiety Cognitive therapy Randomized controlled trials Analysis of variance Internet Psychology Quality of life Speech Evaluation of human services programs Therapeutics Australia Internet Publishing and Broadcasting and Web Search Portals Wired Telecommunications Carriers Marketing Research and Public Opinion Polling Stuttering Analysis of covariance Questionnaires Research funding Statistical sampling Treatment effectiveness Data analysis software Descriptive statistics ab: Purpose: iGlebe is an individualized, fully automated Internet cognitive behavior therapy (CBT) treatment program that requires no clinician contact. Phase I and II trials have demonstrated that it may be efficacious for treating the social anxiety commonly associated with stuttering. The present trial sought to establish whether the outcomes achieved by iGlebe are noninferior to those associated with in-clinic CBT from clinical psychologists. Method: Fifty adults with stuttering were randomized to receive in-clinic CBT for anxiety or 5 months online access to iGlebe. The design was a noninferiority randomized controlled trial with outcomes assessed at prerandomization and at 6 and 12 months postrandomization. Primary outcomes were CIDI-Auto-2.1 diagnoses for anxiety and mood disorders and Brief Fear of Negative Evaluation scale scores (Carleton, McCreary, Norton, & Asmundson, 2006). Secondary outcomes included speech, psychology, and quality-of-life measures. Results: Outcomes consistently showed clinically significant improvements of around a medium effect size for the cohort as a whole from prerandomization to 6 months postrandomization, which were maintained at 12 months postrandomization. Comparisons between the 2 treatments showed little difference between iGlebe and in-clinic treatment for all primary and secondary outcomes, with last observation carried forward for missing data. Conclusions: iGlebe is a promising individualized treatment for social anxiety for adults who stutter and offers a viable and inexpensive alternative to in-clinic CBT with clinical psychologists. An issue to emerge from this trial, which requires clarification during future clinical trials of iGlebe, is the posttreatment relation between percentage of syllables stuttered and self-reported stuttering severity ratings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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