Reach, uptake, and psychological outcomes of two publicly funded internet-based cognitive behavioural therapy programs in Ontario, Canada: an observational study.
Background: Access to traditional mental health services in Canada remains limited, prompting exploration into digital alternatives. The Government of Ontario initiated access to two internet-based cognitive behavioral therapy (iCBT) programs, LifeWorks AbilitiCBT and MindBeacon TAiCBT, for adults w...
| Publicado en: | International Journal of Mental Health Systems Vol. 18; no. 1; pp. 1 - 15 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
11/7/2024
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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=180734405&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180734405 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17524458 7CA6 jtl: International Journal of Mental Health Systems issn: 17524458 maglogo: N pubinfo: dt: 11/7/2024 vid: 18 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 180734405 180734405 180734405 10.1186/s13033-024-00651-9 180734405 ppf: 1 ppct: 14 formats: tig: atl: Reach, uptake, and psychological outcomes of two publicly funded internet-based cognitive behavioural therapy programs in Ontario, Canada: an observational study. aug: au: Khan, Bilal Noreen Liu, Rebecca H. Chu, Cherry Bolea-Alamañac, Blanca Nguyen, Megan Thapar, Serena Fanaieyan, Roz Leon-Carlyle, Marisa Tadrous, Mina Kurdyak, Paul O'Riordan, Anne Keresteci, Maggie Bhattacharyya, Onil affil: https://ror.org/03cw63y62 Women's College Hospital, 76 Grenville St, M5S 1B2, Toronto, ON, Canada sug: subj: Cognitive Therapy Internet-Based Intervention Program Evaluation Mental Health Services Ontario Mental Disorders Therapy Financing, Government Government Programs Ontario Treatment Outcomes Human Nonexperimental Studies Ontario Secondary Analysis Retrospective Design Text Messaging Anxiety Depression Questionnaires Female Male Adolescence Adult Middle Age Aged Aged, 80 and Over Descriptive Statistics Race Factors Ethnic Groups Pretest-Posttest Design Funding Source White Persons Urban Population Recovery Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Female Male ab: Background: Access to traditional mental health services in Canada remains limited, prompting exploration into digital alternatives. The Government of Ontario initiated access to two internet-based cognitive behavioral therapy (iCBT) programs, LifeWorks AbilitiCBT and MindBeacon TAiCBT, for adults with mental health issues. Methods: An uncontrolled observational study utilizing secondary retrospective program data was conducted to evaluate the reach, uptake, and psychological symptom changes among participants engaging with either iCBT program. Results: Between May 2020 and September 2021, 56,769 individuals enrolled in LifeWorks AbilitiCBT, and 73,356 in MindBeacon TAiCBT. However, substantial exclusions were made: 56% of LifeWorks participants and 68% of MindBeacon participants were ineligible or failed to initiate treatment. Consequently, 25,154 LifeWorks participants and 23,795 MindBeacon participants were included in the analysis. Of these, 22% of LifeWorks and 26% of MindBeacon participants completed over 75% of iCBT treatment. On average, LifeWorks participants received 13 ± SD 7.1 therapist messages and sent 5 ± SD 10.3 messages, while MindBeacon participants received 25 ± SD 20.7 therapist messages and sent 13 ± SD 16.4 messages. LifeWorks included synchronous therapist contact averaging 1.4 ± SD 1.9 h per participant, while MindBeacon was purely asynchronous. Baseline severity of anxiety (37%) and depression symptoms (22%) was higher for LifeWorks participants compared to MindBeacon participants (24% and 10%, respectively). Clinically significant changes in anxiety and depression scores were observed: 22% of LifeWorks and 31% of MindBeacon participants exhibited reliable recovery in PHQ-9 scores, while 26% of LifeWorks and 25% of MindBeacon participants demonstrated reliable recovery in GAD-7 scores. Conclusion: In conclusion, iCBT programs show promise for engaged participants with varying levels of severity in anxiety and depression symptoms. Future iterations of iCBT should consider adopting a broad entry criterion to iCBT programming to increase accessibility, especially for those with severe symptoms, alongside integrated intake care pathways, and potential payment structure adjustments for iCBT service providers. Taken all together, these factors could temper high dropout rates post-intake assessment. This evaluation underscores the potential and value of digital mental health interventions for individuals with mild to severe anxiety or depression symptoms, emphasizing the importance of addressing participant dropout. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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