A feasibility open trial of internet-delivered cognitive-behavioural therapy (iCBT) among consumers of a non-governmental mental health organisation with anxiety

Kirkpatrick, T. L.; Manoukian, Linda; Dear, Blake F.; Johnston, Luke; Titov, Nickolai

doi:10.7717/peerj.210

Cited by 20 publications

(26 citation statements)

References 33 publications

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“…Four iCBT treatment courses were offered: the Wellbeing course, designed to treat symptoms of anxiety and depression of adults ages 18-60 years (19,20,28,29); the Wellbeing Plus course, designed to treat symptoms of anxiety and depression of adults age $60 (22,23); the OCD course, designed to treat symptoms of obsessive-compulsive disorder (21,30), and the PTSD course, designed to treat symptoms of posttraumatic stress disorder (18). The iCBT treatment courses were developed and validated at a research unit, the eCentreClinic (www.ecentreclinic.org).…”

Section: Clinic Interventionsmentioning

confidence: 99%

MindSpot Clinic: An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression

Titov¹,

Dear²,

Staples³

et al. 2015

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167

143

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Section: Clinic Interventionsmentioning

confidence: 99%

MindSpot Clinic: An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression

Titov¹,

Dear²,

Staples³

et al. 2015

Self Cite

167

143

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show abstract

“…In one study, coaches were drawn from a mixed group of clinicians (general medical practitioners, psychologists, medical specialists, nurses, and other allied health practitioners) [ 45 ]. Other studies have included coaches who were: general medical practitioners with additional mental health training [ 54 , 55 ]; primary care nurses and social workers [ 7 ]; psychologists working in private practice [ 44 ] and in a non-government mental health organization [ 56 ]; community-based psychologists and social workers [ 46 ]; paraprofessional graduate mental health workers [ 57 ]; peer workers [ 58 ], and administrative staff [ 59 ].…”

Section: Models Of Delivery In Primary Health Carementioning

confidence: 99%

“…Program protocols usually indicate the coaching time required but this may be minimal once the service user has begun working through the program (eg, [ 59 , 73 ]). Indeed, many coaching functions can be at least partially automated, for example reminders to complete tasks, feedback about symptom quizzes, and prompts to seek professional advice [ 56 , 59 , 68 , 74 - 76 ].…”

Section: Models Of Delivery In Primary Health Carementioning

confidence: 99%

Clinical Practice Models for the Use of E-Mental Health Resources in Primary Health Care by Health Professionals and Peer Workers: A Conceptual Framework

Reynolds¹,

Griffiths²,

Cunningham³

et al. 2015

JMIR Mental Health

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BackgroundResearch into e-mental health technologies has developed rapidly in the last 15 years. Applications such as Internet-delivered cognitive behavioral therapy interventions have accumulated considerable evidence of efficacy and some evidence of effectiveness. These programs have achieved similar outcomes to face-to-face therapy, while requiring much less clinician time. There is now burgeoning interest in integrating e-mental health resources with the broader mental health delivery system, particularly in primary care. The Australian government has supported the development and deployment of e-mental health resources, including websites that provide information, peer-to-peer support, automated self-help, and guided interventions. An ambitious national project has been commissioned to promote key resources to clinicians, to provide training in their use, and to evaluate the impact of promotion and training upon clinical practice. Previous initiatives have trained clinicians to use a single e-mental health program or a suite of related programs. In contrast, the current initiative will support community-based service providers to access a diverse array of resources developed and provided by many different groups.ObjectiveThe objective of this paper was to develop a conceptual framework to support the use of e-mental health resources in routine primary health care. In particular, models of clinical practice are required to guide the use of the resources by diverse service providers and to inform professional training, promotional, and evaluation activities.MethodsInformation about service providers’ use of e-mental health resources was synthesized from a nonsystematic overview of published literature and the authors’ experience of training primary care service providers.ResultsFive emerging clinical practice models are proposed: (1) promotion; (2) case management; (3) coaching; (4) symptom-focused treatment; and (5) comprehensive therapy. We also consider the service provider skills required for each model and the ways that e-mental health resources might be used by general practice doctors and nurses, pharmacists, psychologists, social workers, occupational therapists, counselors, and peer workersConclusionsThe models proposed in the current paper provide a conceptual framework for policy-makers, researchers and clinicians interested in integrating e-mental health resources into primary care. Research is needed to establish the safety and effectiveness of the models in routine care and the best ways to support their implementation.

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“…Psychotherapeutic change is believed to occur when people learn, practice and adopt adaptive cognitive and behavioural habits that promote emotional wellbeing . This course has been evaluated in several clinical trials (Kirkpatrick et al, 2013;Titov et al, 2013Titov et al, , 2014 and is now used at an Australian national treatment service, the MindSpot Clinic, www.mindspot.org.au.…”

Section: Introductionmentioning

confidence: 99%

A feasibility open trial of guided Internet-delivered cognitive behavioural therapy for anxiety and depression amongst Arab Australians

Kayrouz

Dear

Johnston

et al. 2015

Internet Interventions

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The present study examined the preliminary efficacy and acceptability of a culturally modified therapist-guided cognitive behaviour therapy (CBT) treatment for Arab Australians, aged 18 years and over with symptoms of depression and anxiety. To facilitate ease of use, the treatment was delivered via the Internet (Internet CBT; iCBT). Eleven participants with at least mild symptoms of depression (Patient Health Questionnaire 9-item (PHQ-9) total scores N 4 ) or anxiety (Generalised Anxiety Disorder 7-item (GAD-7) total scores N 4 ) accessed the online Arab Wellbeing Course, which consisted of five online lessons delivered over 8 weeks. Measures of depression, anxiety, distress and disability were gathered at pre-treatment, post-treatment and 3-month follow-up. Data were analysed using mixed-linear model analyses. Ninety-one percent (10/11) of participants completed the five lessons over 8 weeks, with 10/11 providing post-treatment and 3-month follow-up data. Participants improved significantly across all outcome measures, with large within-group effect sizes based on estimated marginal means (Cohen's d) at post-treatment (d = 1.08 to 1.74) and 3-month follow-up (d = 1.53 to 2.00). The therapist spent an average of 90.72 min (SD = 28.98) in contact, in total, with participants during the trial. Participants rated the Arab Wellbeing Course as acceptable. Caution is needed in interpreting the results of the current study given the small sample size employed, raising questions about the impact of levels of acculturation and the absence of a control group. However, the results are encouraging and indicate that, with minor modifications, western psychological interventions have the potential to be of benefit to English speaking Arab immigrants.

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A feasibility open trial of internet-delivered cognitive-behavioural therapy (iCBT) among consumers of a non-governmental mental health organisation with anxiety

Cited by 20 publications

References 33 publications

MindSpot Clinic: An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression

MindSpot Clinic: An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression

Clinical Practice Models for the Use of E-Mental Health Resources in Primary Health Care by Health Professionals and Peer Workers: A Conceptual Framework

A feasibility open trial of guided Internet-delivered cognitive behavioural therapy for anxiety and depression amongst Arab Australians

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