Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/19937
Title: Improving Adherence and Clinical Outcomes in Self-Guided Internet Treatment for Anxiety and Depression: Randomised Controlled Trial
Contributor(s): Titov, Nickolai (author); Dear, Blake F (author); Johnston, Luke (author); Lorian, Carolyn (author); Zou, Judy (author); Wootton, Bethany (author); Spence, Jay (author); McEvoy, Peter M (author); Rapee, Ronald M (author)
Publication Date: 2013
Open Access: Yes
DOI: 10.1371/journal.pone.0062873Open Access Link
Handle Link: https://hdl.handle.net/1959.11/19937
Abstract: Background: Depression and anxiety are common, disabling and chronic. Self-guided internet-delivered treatments are popular, but few people complete them. New strategies are required to realise their potential. Aims: To evaluate the effect of automated emails on the effectiveness, safety, and acceptability of a new automated transdiagnostic self-guided internet-delivered treatment, the Wellbeing Course, for people with depression and anxiety. Method: A randomised controlled trial was conducted through the website: www.ecentreclinic.org. Two hundred and fifty seven people with elevated symptoms were randomly allocated to the 8 week course either with or without automated emails, or to a waitlist control group. Primary outcome measures were the Patient Health Questionnaire 9-Item (PHQ-9) and the Generalized Anxiety Disorder 7-Item (GAD-7). Results: Participants in the treatment groups had lower PHQ-9 and GAD-7 scores at post-treatment than controls. Automated emails increased rates of course completion (58% vs. 35%), and improved outcomes in a subsample with elevated symptoms. Conclusions: The new self-guided course was beneficial, and automated emails facilitated outcomes. Further attention to strategies that facilitate adherence, learning, and safety will help realise the potential of self-guided interventions
Publication Type: Journal Article
Source of Publication: PLoS One, 8(7), p. 1-11
Publisher: Public Library of Science (PLoS)
Place of Publication: United States of America
ISSN: 1932-6203
Field of Research (FOR): 170106 Health, Clinical and Counselling Psychology
Socio-Economic Objective (SEO): 920410 Mental Health
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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