The effectiveness of computerised cognitive behavioural therapy in routine care

Cavanagh, K, Shapiro, D A, Van den Berg, S, Swain, S, Barkham, M and Proudfoot, J (2006) The effectiveness of computerised cognitive behavioural therapy in routine care. British Journal of Clinical Psychology, 45 (4). pp. 499-514.

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Objectives and design The efficacy of a Computerized Cognitive Behavioural Therapy (CCBT) package, Beating the Blues, has been demonstrated in a large randomized controlled trial. The current study tests the generalizability of this finding in a naturalistic non-randomized trial. Method 219 patients with anxiety and/or depression were recruited to receive CCBT in routine care. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and Work and Social Adjustment scale (WSA) were administered pre-treatment, immediately on completing treatment and at 6 months post-treatment. Single-item self-report measures of anxiety and depression were also collected during each treatment session. Results Completer and intention-to-treat analysis demonstrated statistically and clinically significant improvements on the CORE-OM, WSA and in self-reported anxiety and depression. Intention-to-treat analysis indicated an average 0.29-point drop on the CORE-OM, equating to an uncontrolled pre-post effect size of 0.50. Research completers achieved an average 0.61-point drop equating to an uncontrolled pre-post size of 1.00 on the same measure. Where data was available (18%), these benefits were maintained at week 32 (6 months follow-up). Conclusion CCBT can be an effective first line tool within a stepped care framework for the management of common mental health problems.

Item Type: Article
Schools and Departments: School of Psychology > Psychology
Depositing User: Kate Cavanagh
Date Deposited: 06 Feb 2012 15:52
Last Modified: 16 Mar 2012 14:24
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