Cognitive Behaviour Therapy Self-Help: Who Does it Help and What are its Drawbacks?

MacLeod, Melanie; Martinez, Rebeca; Williams, Chris

doi:10.1017/s1352465808005031

Cited by 52 publications

(44 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, eHealth intervention knowledge, eHealth experience, and health-related Internet and mobile use were low in most inpatients in our study. This can be applied to health professionals too, where previous studies found that only few practitioners offer e-mental health interventions to patients [84,85], thus limiting availability and exposure to effective treatment tools. Perle et al [52] found that 75% of clinical psychologists would reconsider using a Web camera–based e-mental health intervention after appropriate education.…”

Section: Discussionmentioning

confidence: 99%

Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey

2016

View full text Add to dashboard Cite

BackgroundWeb-based aftercare can help to stabilize treatment effects and support transition after inpatient treatment, yet uptake by patients seems limited in routine care and little is known about the mechanisms of adoption and implementation.ObjectiveThe aim of this study was to (1) determine acceptance of Web-based aftercare and (2) explore its drivers and barriers in different subgroups of a mixed inpatient sample.MethodIn a cross-sectional design, 38.3% (374/977) of the inpatients from a broad spectrum of diagnostic groups (psychosomatic, cardiologic, orthopedic, pediatric, and substance-related disorders) filled out a self-administered questionnaire prior to discharge. Drivers and barriers to patients’ acceptance of Web-based aftercare were examined based on an extension to the “unified theory of acceptance and use of technology” (UTAUT). In total, 16.7% (59/353) of the participants indicated prior use of eHealth interventions.ResultsAcceptance (min 1, max 5) was low (mean 2.56, SD 1.22) and differed between diagnostic groups (Welch F4,133.10 =7.77, P<.001), with highest acceptance in adolescent patients (mean 3.46, SD 1.42). Acceptance was significantly predicted by 3 UTAUT predictors: social influence (beta=.39, P<.001), performance expectancy (beta=.31, P<.001), and effort expectancy (beta=.22, P<.001). Furthermore, stress due to permanent availability (beta=−.09, P=.01) was negatively associated with acceptance.ConclusionThis study demonstrated a limited acceptance of Web-based aftercare in inpatients. Expectations, social environment’s attitude, and negative experience with permanent availability influence eHealth acceptance. Improving implementation, therefore, means increasing eHealth experience and literacy and facilitating positive attitudes in patients and health professionals through education and reduction of misconceptions about effectiveness or usability.

show abstract

Section: Discussionmentioning

confidence: 99%

Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey

2016

View full text Add to dashboard Cite

show abstract

“…Murray et al (2003) found that some patients reported that they did not feel competent using computers and that computers were too impersonal. Similarly, surveys of professionals show that only 6.9-10.6% of CBT therapists use cCBT (Keeley et al 2002;MacLeod et al 2009). …”

Section: Advantages and Disadvantages Of Computerised Cbtmentioning

confidence: 99%

Computerised Cognitive Behavioural Therapy for the Prevention and Treatment of Depression and Anxiety in Children and Adolescents: A Systematic Review

Richardson

Stallard

Velleman

2010

Clin Child Fam Psychol Rev

269

210

View full text Add to dashboard Cite

Research has shown that computerised cognitive behaviour therapy (cCBT) can be effective in the treatment of depression and anxiety in adults, although the outcomes with children and adolescents are unclear. The aim of the study is to systematically review the literature on the effectiveness of cCBT for the prevention and treatment of depression and anxiety in children and adolescents. EMBASE, PsychInfo and Pubmed were searched using specific terms and inclusion criteria for cCBT studies involving young people under the age of 18. A hand search was also conducted, and the authors were contacted to identify additional papers. Ten studies met the inclusion criteria. These included case series and randomised controlled trials concerned with both treatment and prevention. Six different software packages were described that varied in length and the nature and extent of professional contact and supervision. All studies reported reductions in clinical symptoms and also improvements in variables such as behaviour, self-esteem and cognitions. Satisfaction with treatment was moderate to high from both children and parents, though levels of drop out and non-completion were often high. Additional randomised controlled trials are required, as the literature is currently limited. However, preliminary evidence suggests that cCBT is an acceptable and effective intervention for this age group.

show abstract

“…For example, while anonymity and convenience are welcomed by some users (Christensen et al, 2013), these are disliked as impersonal or perceived as work-like rather than therapeutic, leading to low motivation in others (Schneider, Foroushani, Grime, & Thornicroft, 2014). More discrete barriers have been suggested as visual impairment, poor IT provision, low educational levels (Waller & Gilbody, 2009), as well as patient level of hopelessness (MacLeod, Martinez, & Williams, 2009). The literature also seems to agree that guidance and support, whether the intervention is provided remotely or in person, is essential for the successful outcome (Gellatly et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: Systematic review and meta-analysis

Rooksby

Elouafkaoui

Humphris

et al. 2015

Journal of Anxiety Disorders

139

109

View full text Add to dashboard Cite

Cognitive Behaviour Therapy Self-Help: Who Does it Help and What are its Drawbacks?

Abstract: Preferable patient characteristics for self-help have been identified, as have potential problems and adverse consequences.

Cited by 52 publications

References 8 publications

Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey

Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey

Computerised Cognitive Behavioural Therapy for the Prevention and Treatment of Depression and Anxiety in Children and Adolescents: A Systematic Review

Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: Systematic review and meta-analysis

Contact Info

Product

Resources

About