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

Titov, Nickolai; Dear, Blake F.; Staples, Lauren G.; Bennett–Levy, James; Klein, Britt; Rapee, Ronald M.; Shann, Clare; Richards, David; Andersson, Gerhard; Ritterband, Lee M.; Purtell, Carol; Bezuidenhout, Greg; Johnston, Luke; Nielssen, Olav

doi:10.1176/appi.ps.201400477

Cited by 166 publications

(167 citation statements)

References 46 publications

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“…Usually anonymity is preserved as patients participate at distance, resulting in low social barriers and low risk of stigmatization [7]. From a health suppliers perspective online interventions guarantee standardized treatments and show good scalability, which has led to the launch of the first online clinics [8,9]. Internet-based interventions can also help with bridging waiting times [10] or enhance treatment effects during aftercare [11].…”

Section: Contributor Ship Statementmentioning

confidence: 99%

Feasibility of a blended group intervention (bGT) for major depression: Uncontrolled interventional study in a university setting

Schuster¹

2017

Preprint

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Objective: This study investigated the feasibility of a novel blended (face-to-face and computer-based) group intervention for the reduction of depressive symptoms in major depression.Design: Patient-centred uncontrolled interventional study.Setting: University setting in a general community sample. A multi-modal recruitment strategy (public health centres and public areas) was applied.Participants: Based on independent interviews, 26 participants, diagnosed with major depressive disorder (81 % female; 23 % comorbidity > 1, 23 % comorbidity > 2), entered treatment.Intervention: Acceptance and mindfulness-based, as well as self-management and resource-oriented psychotherapy principles served as the theoretical basis for the low-threshold intervention. The blended format included face-to-face sessions, complemented with multimedia presentations and a platform featuring videos, online work sheets, an unguided group-chat, as well as remote therapistpatient communication. Conclusion: The investigated blended group format seems feasible for the reduction of depressive symptoms in major depression. The development of blended interventions can benefit from assuring that highl st u tu ed t eat e ts a tuall eet patie ts' needs. As a next step, the intervention should be tested in comparative trials in routine care.Trial registration: DRKS-ID: DRKS00010894

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Section: Contributor Ship Statementmentioning

confidence: 99%

Feasibility of a blended group intervention (bGT) for major depression: Uncontrolled interventional study in a university setting

Schuster¹

2017

Preprint

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“…The present study shows that approximately twice as many participants preferred guided interventions over unguided interventions. Taken together, with evidence showing guided interventions to be comparable to face-to-face psychotherapy, for example for depression and anxiety [17,86], and with large effect sizes of guided formats when delivered under routine care conditions [25,[87][88][89], preference should be given at the moment, whenever possible, to guided self-help in routine care. However, it should also be acknowledged that almost 20% of participants preferred unguided self-help, hence future studies should clarify if offering both guided and unguided interventions could lead to greater effects on population level due to higher overall utilization rates, compared to offering only one of the two options.…”

Section: Providing Asynchronous Treatment Formats To Increase Health mentioning

confidence: 99%

Public Attitudes Toward Guided Internet-Based Therapies: Web-Based Survey Study (Preprint)

Apolinário-Hagen¹,

Harrer²,

Kählke³

et al. 2018

Preprint

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Background: Internet interventions have been proposed to improve the accessibility and utilization of evidence-based psychological treatments. However, little is known about attitudes toward such treatments, which can be an important barrier to their utilization. Objective: This study aimed to (1) determine attitudes toward guided internet interventions, to (2) assess its acceptability compared to other internet-based formats, and to (3) explore predictors of acceptance. Methods: A web-based survey (N=646) assessed attitudes toward guided internet therapies (i.e. "perceived usefulness/helpfulness", "relative advantage compared to face-to face therapy"), preferences for delivery modes ("e-preference": guided Internet interventions, unguided internet interventions, video conferencing psychotherapy (VCP)) as well as potential predictors of attitudes and preferences, including socio-demographics, help seeking-related variables, attachment style, perceived stress. Results: Although most participants perceived internet interventions as useful or helpful (65.9%, 426/646), the minority indicated their relative advantage compared to face-to-face therapy (8.7%, 56/646). Most participants preferred guided internet interventions (39.0%, 252/646) over VCP (22.8%, 147/646), unguided internet interventions (19.2%, 124/646) and not using internet interventions (18.8%, 121/646; missing: 0.2%). Attachment avoidance and stress were related to epreference (all P<.05). Moreover, preference for therapist-guided internet interventions was higher for individuals aware of internet-based treatment (χ

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“…Multiple users could simultaneously access the ICBT intervention at their convenience, which would also be a way to reduce the demand on potentially overburdened mental health agencies. One example of this is MindSpot, a government-funded online treatment clinic for Australian adults with anxiety or (Titov et al, 2015). Participants who completed MindSpot were found to have symptom improvement comparable to face-to-face treatments in effect size and clinical change.…”

Section: Public Health Implicationsmentioning

confidence: 99%

Strengths and Limitations of Internet-Based Cognitive-Behavioral Treatments for Anxiety Disorders

Woods

Stults

Terry

et al. 2017

PCSP

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This commentary discusses the strengths and limitations of internet-based cognitive-behavioral treatments (ICBT) for anxiety disorders, as highlighted by the case studies described in Ciuca, Berger, and Miclea (2017), and in Schulz, Vincent, and Berger (2017). In comparing the course of treatment for patients with contrasting clinical outcomes, the authors offer insights into the many benefits and challenges of ICBT. Suggestions for improving ICBT interventions for anxiety disorders, implications for implementation and dissemination, and ethical considerations are discussed.

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

Cited by 166 publications

References 46 publications

Feasibility of a blended group intervention (bGT) for major depression: Uncontrolled interventional study in a university setting

Feasibility of a blended group intervention (bGT) for major depression: Uncontrolled interventional study in a university setting

Public Attitudes Toward Guided Internet-Based Therapies: Web-Based Survey Study (Preprint)

Strengths and Limitations of Internet-Based Cognitive-Behavioral Treatments for Anxiety Disorders

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