Internet-delivered cognitive behaviour therapy for chronic health conditions: self-guided versus team-guided.
There is growing interest in offering Internet-delivered cognitive behaviour therapy (ICBT) to individuals with chronic health conditions, with this process often being guided by a single clinician. Due to lack of full time personnel, it is sometimes necessary to have multiple clinicians offer guida...
| Publicado en: | Journal of Behavioral Medicine Vol. 45; no. 5; pp. 674 - 690 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159303558&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159303558 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Oct2022 vid: 45 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159303558 158335550 159303558 159303558 10.1007/s10865-022-00346-x 159303558 ppf: 674 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Internet-delivered cognitive behaviour therapy for chronic health conditions: self-guided versus team-guided. aug: au: Mehta, S. H. Nugent, M. Peynenburg, V. Thiessen, D. La Posta, G. Titov, N. Dear, B. F. Hadjistavropoulos, H. D. affil: Department of Psychology, University of Regina, 3737 Wascana Parkway, S4S 0A2, Regina, SK, Canada sug: subj: Chronic Disease Therapy Cognitive Therapy Methods Internet Health Care Delivery Treatment Outcomes Evaluation Self Care Teamwork Human Randomized Controlled Trials Comparative Studies Group Processes Pretest-Posttest Design Patient Attitudes Depression Prevention and Control Anxiety Prevention and Control Descriptive Statistics Chronic Disease Symptoms ab: There is growing interest in offering Internet-delivered cognitive behaviour therapy (ICBT) to individuals with chronic health conditions, with this process often being guided by a single clinician. Due to lack of full time personnel, it is sometimes necessary to have multiple clinicians offer guidance or for no guidance to be offered. In this randomized trial, we compared team-guided ICBT (n = 90) to self-guided ICBT (n = 88). Participants completed measures at pre-, post-, and 3-months post-ICBT. Both groups showed similar rates of treatment completion and large improvements on depression and anxiety at post-treatment and follow-up. Unexpectedly, more participants in the self-guided versus team-guided condition showed clinically significant improvement on depression at post-treatment (76.5% vs 49.2%) and follow-up (70% vs 45.6%). Thus, team-guided ICBT may not provide significant benefits compared to self-guided ICBT. However, it may be an alternative approach to consider among a population of high risk individuals that wants or requires closer monitoring of symptoms. Trail registration TRN: NCT03500237; Date: April 18, 2018. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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