Comparison of Palmtop-Computer-Assisted Brief Cognitive -- Behavioral Treatment to Cognitive -- Behavioral Treatment for Panic Disorder

Newman, Michelle G.; Kenardy, Justin; Herman, Steve; Taylor, C. Barr

doi:10.2139/ssrn.2555321

Cited by 29 publications

(73 citation statements)

References 36 publications

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“…The results indicated similar reductions in anxiety symptoms for BCBT + EMI compared with standard CBT after treatment. [37][38][39] The pilot study results show positive feedback from patients and therapists about the feasibility and effectiveness of m-health using an advanced communication protocol for supporting in vivo skills coaching and treatment monitoring of children with anxiety. The integration of m-health with CBT appears to be a promising avenue to provide effective treatments in a shorter period of time, potentially improving dissemination, faster amelioration of symptoms, and healthcare affordability.…”

Section: Smartcatmentioning

confidence: 92%

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The SmartCAT: An m-Health Platform for Ecological Momentary Intervention in Child Anxiety Treatment

Pramana

Parmanto

Kendall

et al. 2014

Telemedicine and e-Health

156

143

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Introduction: Cognitive behavioral therapy (CBT) for child anxiety, although efficacious, typically requires 16-20 weekly sessions with a therapist. Brief CBT (BCBT; eight sessions) for child anxiety is promising but may have less favorable outcomes owing to reduced session time. Mobile health (m-health) has the potential to improve BCBT efficacy by delivering ecological momentary intervention to engage youth in learning and practicing CBT skills in their everyday lives (in vivo). Materials and Methods: We developed an m-health platform entitled SmartCAT (Smartphone-enhanced Child Anxiety Treatment). SmartCAT consists of (1) a smartphone application (app) that cues youth to use the CBT skills taught in sessions, (2) an online portal that allows therapists to monitor skill use, to send cues and treatment-related materials, to engage youth in real-time via secure messages, and to manage rewards, and (3) a communication protocol that allows real-time bidirectional exchange between the app and the portal. A pilot study with nine youth (9-14 years old) examined the platform's feasibility as an adjunct to BCBT. Results: SmartCAT was found to be capable of supporting BCBT for child anxiety and received positive feedback from both therapists and youth patients. Patients rated the app as highly usable (mean = 1.7 on a 1-7 scale, with 1 = ''easy''). Patients completed 5.36 skills coach entries per session (standard deviation = 1.95) and took an average of 3.14 min (standard deviation = 0.98 min) to complete the entries. Conclusions: A smartphone app is feasible within CBT for child anxiety. Users found SmartCAT both acceptable and easy to use. Integrating an m-health platform within BCBT for anxious children may facilitate involvement in treatment and dissemination of effective procedures.

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Section: Smartcatmentioning

confidence: 92%

“…[37][38][39] In these studies, palmtop computers were used to supplement BCBT interventions by prompting participants to practice CBT skills. The results indicated similar reductions in anxiety symptoms for BCBT + EMI compared with standard CBT after treatment.…”

Section: Smartcatmentioning

confidence: 99%

The SmartCAT: An m-Health Platform for Ecological Momentary Intervention in Child Anxiety Treatment

Pramana

Parmanto

Kendall

et al. 2014

Telemedicine and e-Health

156

143

View full text Add to dashboard Cite

show abstract

“…In the treatment of depression and anxiety disorders, computer-assisted delivery of CBT has been demonstrated in randomized trials to be both effective (18)(19)(20)(21)(22)(23)(24)(25) and cost effective (26). However, there have been few evaluations of computer-assisted treatment, of any type, for the addictions.…”

Section: Introductionmentioning

confidence: 99%

Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT

Carroll

Ball

Martino

et al. 2008

AJP

368

333

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Objectives-To evaluate the efficacy of a computer-based version of cognitive behavioral therapy (CBT) for substance dependence.Methods-This was a randomized clinical trial in which 77 individuals seeking treatment for substance dependence at an outpatient community setting were randomized to standard treatment or standard treatment with biweekly access to computer-based training in CBT (CBT4CBT).Results-Treatment retention and data availability were comparable across the treatment conditions. Participants assigned to the CBT4CBT condition submitted significantly more urine specimens that were negative for any type of drugs and tended to have longer continuous periods of abstinence during treatment. The CBT4CBT program was positively evaluated by participants. In the CBT4CBT condition, outcome was more strongly associated with treatment engagement than in TAU; further, completion of homework assignments in CBT4CBT was significantly correlated with outcome and a significant predictor of treatment involvement.Conclusions-These data suggest that CBT4CBT is an effective adjunct to standard outpatient treatment for substance dependence and may provide an important means of making CBT, an empirically validated treatment, more broadly available.

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“…As a recent, large review and synthesis of meta-analytic evidence regarding behavioral interventions to reduce HIV-related sexual risk behavior concluded, "Insights from translational work suggest that additional interventions that maximize the feasibility of translation and dissemination may need to be developed" (Noar, (Downs et al, 2004;Fotheringham, Owies, Leslie, & Owen, 2000;Marsch & Bickel, 2004;Newman, Kenardy, Herman, & Taylor, 1997;Noar et al, 2009;Thomas, Cahill, & Santilli, 1997).…”

Section: Resultsmentioning

confidence: 99%

Translating an Effective Group-Based HIV Prevention Program to a Program Delivered Primarily by a Computer: Methods and Outcomes

Card

Kuhn

Solomon³

et al. 2011

AIDS Education and Prevention

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We describe development of SAHARA (SISTAS Accessing HIV/AIDS Resources At-a-click), an innovative HIV prevention program that uses a computer to deliver an updated version of SiSTA, a widely used, effective group-level HIV prevention intervention for African American women ages 18-29. Fidelity to SiSTA's core components was achieved using: (1) video clips featuring group discussions and modeling of appropriate sexual-and contraceptive-related behavior; and (2) interactive Flash modules facilitating cognitive rehearsal, providing learning experiences through games and quizzes, and providing opportunities for simulated role-play. A preliminary outcome study of SAHARA conducted at Planned Parenthood, Atlanta, found that SAHARA, when followed by a brief 20-minute wrap-up group session facilitated by a health educator, was effective in promoting consistent condom use for vaginal sex. We discuss the potential advantages and challenges of an intervention like SAHARA delivered by computer to an individual, versus one like SiSTA delivered by a health educator to a small group.HIV prevention efforts have slowed the spread of HIV both in the United States and worldwide and have saved many lives (Card et al., 2007; Centers for Disease Control and Prevention [CDC], 2001; UNAIDS, 2008). Until an effective vaccine is developed, preventing transmission requires the deployment of effective, culturally competent prevention strategies that address one or more routes of transmission, including sex, injection drug use, parent-to-child transmission, and transmission in health care settings.In the past decade and a half, many interventions aimed at preventing the spread of HIV have been put into practice and found effective in changing HIV risk-related behavior. These include individual-level and small group-level interventions that seek to directly influence the knowledge, attitudes, skills, and behaviors of persons who participate in intervention activities; communitty-level interventions that influence the knowledge, attitudes, skills, and behaviors of an entire community both directly and indirectly, often through a focus on changing social norms; and structural interventions that indirectly influence risk behavior by effecting changes to policies, laws, organizational practices, or other structures that are related either to risk behaviors or to access to behavioral prevention information, tools, or services (Card,

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Comparison of Palmtop-Computer-Assisted Brief Cognitive -- Behavioral Treatment to Cognitive -- Behavioral Treatment for Panic Disorder

Cited by 29 publications

References 36 publications

The SmartCAT: An m-Health Platform for Ecological Momentary Intervention in Child Anxiety Treatment

The SmartCAT: An m-Health Platform for Ecological Momentary Intervention in Child Anxiety Treatment

Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT

Translating an Effective Group-Based HIV Prevention Program to a Program Delivered Primarily by a Computer: Methods and Outcomes

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