Acceptability, satisfaction and perceived efficacy of “ Space from Depression ” an internet-delivered treatment for depression

Richards, Derek; Murphy, Treasa; Viganò, Noemi; Timulák, Ladislav; Doherty, Gavin; Sharry, John; Hayes, Claire

doi:10.1016/j.invent.2016.06.007

Cited by 62 publications

(62 citation statements)

References 24 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The positive alliance outcomes for completers showed that a strong therapeutic alliance can be established and maintained online (30,31). These results further align with client perceptions of the role of support in iCBT, where different studies have shown that clients found it helpful and motivating during the intervention period (71,72). The lack of change in perception of alliance for dropouts could be explained by the group receiving significantly less iCBT reviews and not getting enough contact to perceive an increase in alliance, which may take more time to develop in iCBT (73).…”

Section: Discussionsupporting

confidence: 69%

“…The current study sought to examine clinical outcomes and the alliance online in delivering the SilverCloud iCBT for depression and anxiety disorders as a prequel to face-to-face therapy for clients with severe symptoms of depression and anxiety. Based on previous research of the SilverCloud platform and programs (37)(38)(39), the following research questions were developed:…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Internet-Delivered Cognitive Behavior Therapy as a Prequel to Face-To-Face Therapy for Depression and Anxiety: A Naturalistic Observation

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: The UK's Improving Access to Psychological Therapies (IAPT) program is a stepped-care model treating individuals with depression and anxiety disorders. Internetdelivered cognitive behavioral therapy (iCBT) is routinely offered to individuals with mild to moderate symptoms, but its applicability to individuals with severe clinical symptoms and requiring a high-intensity intervention is relatively unknown. The current study sought to investigate the potential impacts of using iCBT as a prequel for patients requiring highintensity treatment (HIT; face-to-face) for depression and anxiety in IAPT. Methods: The study utilized an open study design. One hundred and twenty-four participants who were on a waiting list for high-intensity, face-to-face psychological treatment were offered iCBT. Psychometric data on symptoms of depression, anxiety, and functioning were collected from participants before starting and on finishing iCBT and at the point of service exit. Therapeutic alliance data were collected from patients and clinicians during treatment. Patient pathway data, such as number of treatment sessions and time in treatment, was also collected and incorporated into the analysis. Results: Significant reductions across primary outcome measures of depression and anxiety, as well as improved functioning, were observed from baseline to iCBT treatment exit, and from iCBT exit to service exit. Analysis of the therapeutic alliance data for patients and clinicians illustrated differences in outcome for those who dropped out and those who completed treatment. Discussion: This study illustrates the potential for using iCBT as a prequel to highintensity therapy for depression and anxiety disorders and is the first of its kind to do so within IAPT stepped care. The results show that iCBT is a valuable option reducing waiting times and enhancing clinical efficiency. The study contributes to the well-established evidence on online psychological treatments worldwide, but further clinical and service development research is necessary to scale these treatments appropriately.

show abstract

Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Internet-Delivered Cognitive Behavior Therapy as a Prequel to Face-To-Face Therapy for Depression and Anxiety: A Naturalistic Observation

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…The current study was part of a larger randomised controlled trial of an Internet‐delivered intervention for the treatment of depression in a community sample, and for several reasons, the results are positive (Richards et al., , ). The use of the HAT measure allowed us to collect important data that gives us deeper insight and understanding of the important therapeutic processes that form the mechanics of an Internet‐delivered treatment such as the one examined.…”

Section: Resultsmentioning

confidence: 93%

Significant events in an Internet‐delivered (Space from Depression) intervention for depression

Richards

Dowling

O’Brien

et al. 2017

Couns and Psychother Res

Self Cite

View full text Add to dashboard Cite

Objective The advantages and effectiveness of Internet interventions have been established. Little is known about the critical processes of change in Internet‐delivered interventions and of the psychological experience of users. These are both clinically relevant and have a link to the overall outcome of therapy. The goal of this article was to gain an insight into the important therapeutic processes in an 8‐week supported online self‐administered CBT‐based treatment for depression. Method Respondents were participants (N = 88) in a randomised controlled trial with an initial score of 14–28 on the Beck Depression Inventory (BDI‐II), who completed at least one module of the online intervention, and at least one Helpful Aspects of Therapy (HAT) questionnaire. Analysis The HAT data were analysed using descriptive–interpretative qualitative analysis to (i) identify helpful and hindering events, (ii) describe key events and (iii) describe the corresponding impacts of these events on the clients. Results In total, six helpful events were reported (provision of information, core CBT activities, mindfulness, platform accessibility and usability, supporter, personal stories and examples) and eight associated impacts (applying new coping skills/behavioural change, awareness and insight, improved well‐being, support/validation, expression/relief, self‐efficacy/empowerment/sense of achievement, personal connection). In total, five hindering events were identified (platform features/design, external factors, internal factors, supporters' feedback and content of the programme) and five associated impacts (disappointment, frustration/irritation, confusion, mood deterioration and being self‐critical/blaming) were reported. Conclusions The current results support previous findings that CBT principles are important in online delivery. The role of the supporter emerges as a key ingredient in online delivery worthy of further investigation.

show abstract

“…Each program incorporated introductory quizzes, videos, informational content (including stories from other users), interactive activities, and a personal journal. More detailed information on the content of the platform can be found in the published protocol [15] and in previous research [17]. The standard recommendation was to complete one module per week over the 8-week period, with weekly reviews provided by the supporter.…”

Section: Interventionmentioning

confidence: 99%

Supported Internet-Delivered Cognitive Behavioral Therapy Programs for Depression, Anxiety, and Stress in University Students: Open, Non-Randomised Trial of Acceptability, Effectiveness, and Satisfaction (Preprint)

Palacios¹,

Richards²,

Palmer³

et al. 2018

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

Acceptability, satisfaction and perceived efficacy of “ Space from Depression ” an internet-delivered treatment for depression

Cited by 62 publications

References 24 publications

Internet-Delivered Cognitive Behavior Therapy as a Prequel to Face-To-Face Therapy for Depression and Anxiety: A Naturalistic Observation

Internet-Delivered Cognitive Behavior Therapy as a Prequel to Face-To-Face Therapy for Depression and Anxiety: A Naturalistic Observation

Significant events in an Internet‐delivered (Space from Depression) intervention for depression

Supported Internet-Delivered Cognitive Behavioral Therapy Programs for Depression, Anxiety, and Stress in University Students: Open, Non-Randomised Trial of Acceptability, Effectiveness, and Satisfaction (Preprint)

Contact Info

Product

Resources

About