Internet-Delivered Acceptance-Based Cognitive-Behavioral Intervention for Social Anxiety Disorder With and Without Therapist Support: A Randomized Trial

Gershkovich, Marina; Herbert, James D.; Forman, Evan M.; Schumacher, Leah M.; Fischer, Laura E.

doi:10.1177/0145445517694457

Cited by 36 publications

(36 citation statements)

References 58 publications

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“…Two studies on GAD found large anxiety reductions immediately after iACT, and at the 3- [40] and 6-month [39] follow-up points. Two studies on SAD found large reductions in anxiety symptoms after 8 weeks of iACT and at 3-month follow-up [42,43]. Hoffmann et al [45] found large effect sizes on both anxiety measures at posttest and 3-month follow-up for IAD.…”

Section: Resultsmentioning

confidence: 99%

“…When comparing iACT to iCBT on anxiety reduction in tinnitus sufferers, Hesser et al [44] found no significant differences. No significant differences were found between iACT with or without therapist support for people with SAD [43]. Finally, the study by Trompetter et al [55] found no significant difference between iACT and expressive writing for reducing anxiety symptoms in chronic pain sufferers.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review

Kelson¹,

Rollin²,

Ridout³

et al. 2019

J Med Internet Res

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Background Anxiety conditions are debilitating and prevalent throughout the world. Acceptance and Commitment Therapy (ACT) is an effective, acceptance-based behavioral therapy for anxiety. However, there are treatment barriers (eg, financial, geographical, and attitudinal), which prevent people from accessing it. To overcome these barriers, internet-delivered ACT (iACT) interventions have been developed in recent years. These interventions use websites to deliver ACT information and skill training exercises on the Web, either as pure self-help or with therapist guidance. Objective This systematic review aimed to examine the therapeutic impact of iACT on all anxiety conditions. Methods The EMBASE, MEDLINE, ProQuest Central, PsycINFO, Scopus, and Web of Science databases were searched up to September 2018. The titles and abstracts of remaining records after deduplication were screened by 2 authors with a total of 36 full-text articles being retained for closer inspection next to eligibility criteria. Empirical studies of all designs, population types, and comparator groups were included if they appraised the impact of iACT treatment on any standardized measure of anxiety. Included studies were appraised on methodological quality and had their data extracted into a standardized coding sheet. Findings were then tabulated, and a narrative synthesis was performed because of the heterogeneity found between studies. Results A total of 20 studies met inclusion criteria. There were 11 randomized controlled trials (RCTs) and 9 uncontrolled pilot studies. Participants across all studies were adults. The anxiety conditions treated were as follows: generalized anxiety disorder (GAD), social anxiety disorder (SAD), illness anxiety disorder (IAD), and general anxiety symptoms, with or without comorbid physical and mental health problems. A total of 18 studies reported significant anxiety reduction after iACT treatment. This was observed in studies that delivered iACT with (n=13) or without (n=5) therapist guidance. The average attrition rate across all included studies during the active iACT treatment phase was 19.19%. In the 13 studies that assessed treatment satisfaction, participants on average rated their iACT experience with above average to high treatment satisfaction. Conclusions These findings indicate that iACT can be an efficacious and acceptable treatment for adults with GAD and general anxiety symptoms. More RCT studies are needed to corroborate these early iACT findings using empirical treatments in active control groups (eg, internet-delivered cognitive behavioral therapy). This would potentially validate the promising results found for SAD and IAD as well as address the full spectrum of anxiety disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review

Kelson¹,

Rollin²,

Ridout³

et al. 2019

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Online therapeutic interventions have been developed and tested for a wide range of mental health concerns, 25,26 and research generally supports their efficacy. 27,28 Users are typically guided by automated programs to engage in therapeutic activities, with level of therapist involvement ranging from none, to minimal contact, to on-demand support via phone or e-mail. 29 Computer-aided psychotherapy can reach people who might otherwise not receive assistance, overcoming many traditional barriers to care.…”

Section: Introductionmentioning

confidence: 99%

“…In fact, contact with a nonexpert "coach" or "navigator" may be sufficient. 26,28,30,41,42 In addition, past programs in this area have consisted primarily of text (M. McCabe, personal communication, May 3, 2017). However, modern online platforms create the potential to maximize engagement and impact through the use of multimedia and interactive activities in instructional design.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a Brief Online Psychoeducational Intervention for Women with Sexual Interest/Arousal Disorder

Zippan

Stephenson

Brotto

2020

The Journal of Sexual Medicine

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Background: Low sexual desire and arousal are the most common sexual concerns in women, but most women lack access to effective treatment such as cognitive behavioral therapy. Web-based psychological interventions, which are economical, private, easily accessible, and potentially effective, may increase the reach of evidence-based treatment. Aim: To determine the feasibility of translating cognitive behavioral therapy for the most common female sexual dysfunction, Female Sexual Interest/Arousal Disorder, into an online format. The present study examined the feasibility of an introductory psychoeducational module of eSense, an online program currently being developed that is based on existing empirically supported in-person treatments, which delivers content to the user in a visually appealing and interactive manner. Methods: Sixteen cisgender women (M age ¼ 31.9) with female sexual arousal/interest disorder worked through a pilot module of eSense inperson at a sexual health laboratory. Outcomes: Qualitative semistructured interviews and online questionnaires were used to assess participants' experiences of usability of the platform, clarity/relevance of the content, satisfaction with the experience, and any changes in clinical outcomes of sexual function and distress. Results: Participants reported a high level of satisfaction with the website's functionality and presentation. They reported greater knowledge, felt validated and more hopeful, and were eager to continue the remaining modules. Participants also reported notable prepost improvements in sexual desire, arousal, and satisfaction. Clinical Implications: Initial user-experience assessment may represent a method of simultaneously improving online interventions and providing therapeutic education to participants. Strengths & Limitations: This is one of the first studies, to our knowledge, to test a graphics-rich, interactive online intervention for sexual difficulties that does not require direct contact with expert providers or support groups. Limitations include the high level of education, motivation, and technical fluency of the sample and the potentially confounding effect of the researcher's presence during interviews. Because this was a feasibility study, the sample size was small, and no control group was included, limiting conclusions about efficacy and generalizability. Conclusion: The format of eSense appears to be feasible and usable, lending support to the growing evidence that it is possible to take in-person therapeutic interventions online.

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“…The dropout rate in internet interventions is usually much higher, with a mean dropout of 35% (Melville, Casey, & Kavanagh, ). Possible reasons for keeping caregivers in the study were the clear deadlines (Andersson, ) and intensive therapist support (Gershkovich, Herbert, Forman, Schumacher, & Fischer, ) that were combined with a high degree of individualization. Although the intervention duration was scheduled for eight weeks, it ranged between 8 and 20 weeks.…”

Section: Discussionmentioning

confidence: 99%

Acceptance and treatment effects of an internet‐delivered cognitive‐behavioral intervention for family caregivers of people with dementia: A randomized‐controlled trial

2018

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Objectives:The study evaluated the efficacy of an internetdelivered cognitive-behavioral intervention for caregivers of people with dementia and examined acceptance of program characteristics.Method: Thirty-nine caregivers (M age = 62.11 ± 9.67, 78.4% female) were enrolled in a 2 × 3 randomized-controlled trial (RCT) that compared an intervention and wait-list control group. A cognitive-behavioral intervention program was adapted for delivery via an internet platform. Participants exchanged eight weekly messages with a therapist.Results: Treatment satisfaction and acceptance of the program were high. Well-being increased over the intervention duration and intervention group participants were better able to cope with the anticipated death of the care recipient and utilized more psychosocial resources after the intervention ended. Effects were not maintained until follow-up and there were no treatment effects for depression and burden of care. Conclusions: Internet-delivered cognitive-behavioral interventions are suitable for caregivers. A larger RCT needs to investigate possible combinations of classic and internetdelivered programs and confirm efficacy. K E Y W O R D S acceptability, caregiving, cognitive-behavioral therapy, dementia, internet interventions, treatment satisfaction J. Clin. Psychol. 2019;75:594-613. wileyonlinelibrary.com/journal/jclp 594 |

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Internet-Delivered Acceptance-Based Cognitive-Behavioral Intervention for Social Anxiety Disorder With and Without Therapist Support: A Randomized Trial

Cited by 36 publications

References 58 publications

Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review

Internet-Delivered Acceptance and Commitment Therapy for Anxiety Treatment: Systematic Review

Feasibility of a Brief Online Psychoeducational Intervention for Women with Sexual Interest/Arousal Disorder

Acceptance and treatment effects of an internet‐delivered cognitive‐behavioral intervention for family caregivers of people with dementia: A randomized‐controlled trial

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