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|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.0062873||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||Statistics to Oct 2018:||Visitors: 62
|Appears in Collections:||Journal Article|
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