The first 30 months of the MindSpot Clinic: Evaluation of a national e-mental health service against project objectives

Titov, Nickolai; Dear, Blake F.; Staples, Lauren G.; Bennett–Levy, James; Klein, Britt; Rapee, Ronald M.; Andersson, Gerhard; Purtell, Carol; Bezuidenhout, Greg; Nielssen, Olav

doi:10.1177/0004867416671598

Cited by 158 publications

(115 citation statements)

References 40 publications

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“…Another early implementation was the Interapy treatment in the Netherlands, and now there are at least 20 reports of effectiveness in regular care from different clinics and hospitals. The largest report is most likely the outcome audit of the MindSpot clinic in Sydney, Australia, where over 10,000 clients have been treated (mainly for anxiety and depression) [Titov et al, 2016]. Overall, the data collected in regular care support the findings from the studies with moderate to large effect sizes.…”

mentioning

confidence: 61%

Interview

Vögele¹

2017

Verhaltenstherapie

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mentioning

confidence: 61%

Interview

Vögele¹

2017

Verhaltenstherapie

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“…A recent study of the profile of users accessing the Mindspot website reports that Aboriginal and Torres Strait Islanders visited the site at a rate that closely matched national population statistics [35]. …”

Section: Discussionmentioning

confidence: 99%

Diversity in eMental Health Practice: An Exploratory Qualitative Study of Aboriginal and Torres Strait Islander Service Providers

Bird¹,

Rotumah²,

Bennett–Levy³

et al. 2017

JMIR Ment Health

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BackgroundIn Australia, mental health services are undergoing major systemic reform with eMental Health (eMH) embedded in proposed service models for all but those with severe mental illness. Aboriginal and Torres Strait Islander service providers have been targeted as a national priority for training and implementation of eMH into service delivery. Implementation studies on technology uptake in health workforces identify complex and interconnected variables that influence how individual practitioners integrate new technologies into their practice. To date there are only two implementation studies that focus on eMH and Aboriginal and Torres Strait Islander service providers. They suggest that the implementation of eMH in the context of Aboriginal and Torres Strait Islander populations may be different from the implementation of eMH with allied health professionals and mainstream health services.ObjectiveThe objective of this study is to investigate how Aboriginal and Torres Strait Islander service providers in one regional area of Australia used eMH resources in their practice following an eMH training program and to determine what types of eMH resources they used.MethodsIndividual semistructured qualitative interviews were conducted with a purposive sample of 16 Aboriginal and Torres Strait Islander service providers. Interviews were co-conducted by one indigenous and one non-indigenous interviewer. A sample of transcripts were coded and thematically analyzed by each interviewer and then peer reviewed. Consensus codes were then applied to all transcripts and themes identified.ResultsIt was found that 9 of the 16 service providers were implementing eMH resources into their routine practice. The findings demonstrate that participants used eMH resources for supporting social inclusion, informing and educating, assessment, case planning and management, referral, responding to crises, and self and family care. They chose a variety of types of eMH resources to use with their clients, both culturally specific and mainstream. While they referred clients to online treatment programs, they used only eMH resources designed for mobile devices in their face-to-face contact with clients.ConclusionsThis paper provides Aboriginal and Torres Strait islander service providers and the eMH field with findings that may inform and guide the implementation of eMH resources. It may help policy developers locate this workforce within broader service provision planning for eMH. The findings could, with adaptation, have wider application to other workforces who work with Aboriginal and Torres Strait Islander clients. The findings highlight the importance of identifying and addressing the particular needs of minority groups for eMH services and resources.

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“…There is a growing interest in offering internet-based interventions as a way of improving access to psychological treatments in the primary care population, for example, in the United Kingdom (Richards et al, 2018). Therapist-guided internet-based treatments result in large and clinically relevant improvements on depression in clinical trials (Karyotaki et al, 2018) and other conditions (Andersson, Cuijpers, Carlbring, Riper, & Hedman, 2014) and have shown effectiveness for several conditions when implemented in routine care (Andersson & Hedman, 2013;Hedman et al, 2014;Nordgreen, Gjestad, Andersson, Carlbring, & Havik, 2018;Titov et al, 2017).…”

Section: Internet-based Psychological Treatmentsmentioning

confidence: 99%

The effects of component‐specific treatment compliance in individually tailored internet‐based treatment

Kraepelien

Blom

Lindefors

et al. 2019

Clin Psychology and Psychoth

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The objective of this study was to explore the effects of treatment compliance in a guided individually tailored internet‐based treatment (TAIL) in relation to depression and co‐morbid symptoms. Compliance with the homework in the different treatment components in TAIL, each aimed at a specific condition, was rated for 207 participants by independent assessors. Six subgroups ( n = 34–131) were constructed consisting of participants with co‐occurring symptoms of worry, panic, social anxiety, stress, insomnia, or pain. For each group, hierarchical regression was used to investigate whether the total sum of compliance points, Overall Compliance, predicted reductions in depression and in condition‐specific symptoms. Also, in each subgroup, it was tested whether working with specific treatment components, Specific Compliance, predicted reduction of the targeted symptoms. Overall Compliance predicted 15% of the reduction in depression symptoms. For participants with worry, panic, social anxiety, stress, or insomnia, Overall Compliance also predicted symptom reductions in that specific condition. Specific Compliance predicted reduction in the targeted symptoms for participants with social anxiety, stress, and insomnia. Specific Compliance with stress and insomnia components also predicted reductions in depression. Our results strengthen the importance of compliance in internet‐based treatments. Because compliance with stress and insomnia components was particularly important for broad symptom reductions, these conditions should not be ignored when treating patients with co‐morbid symptoms.

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The first 30 months of the MindSpot Clinic: Evaluation of a national e-mental health service against project objectives

Cited by 158 publications

References 40 publications

Interview

Interview

Diversity in eMental Health Practice: An Exploratory Qualitative Study of Aboriginal and Torres Strait Islander Service Providers

The effects of component‐specific treatment compliance in individually tailored internet‐based treatment

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