Improving Adherence and Clinical Outcomes in Self-Guided Internet Treatment for Anxiety and Depression: Randomised Controlled Trial
Open Access
Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Titov, N | en_US |
dc.contributor.author | Dear, BF | en_US |
dc.contributor.author | Johnston, L | en_US |
dc.contributor.author | Lorian, C | en_US |
dc.contributor.author | Zou, J | en_US |
dc.contributor.author |
Wootton, B |
en_US |
dc.contributor.author | Spence, J | en_US |
dc.contributor.author | McEvoy, PM | en_US |
dc.contributor.author | Rapee, RM | en_US |
dc.date.available | 2013-03-25 | en_US |
dc.date.issued | 2013-07-03 | en_US |
dc.identifier.citation | PLoS ONE, 2013, 8 (7) | en_US |
dc.identifier.uri | http://hdl.handle.net/10453/129597 | |
dc.description.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.Trial Registration: Australian and New Zealand Clinical Trials Registry ACTRN12610001058066. © 2013 Titov et al. | en_US |
dc.relation.ispartof | PLoS ONE | en_US |
dc.relation.isbasedon | 10.1371/journal.pone.0062873 | en_US |
dc.subject.classification | General Science & Technology | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Treatment Outcome | en_US |
dc.subject.mesh | Therapy, Computer-Assisted | en_US |
dc.subject.mesh | Questionnaires | en_US |
dc.subject.mesh | Depression | en_US |
dc.subject.mesh | Anxiety | en_US |
dc.subject.mesh | Psychotherapy | en_US |
dc.subject.mesh | Electronic Mail | en_US |
dc.subject.mesh | Internet | en_US |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Patient Satisfaction | en_US |
dc.subject.mesh | Australia | en_US |
dc.subject.mesh | New Zealand | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Medication Adherence | en_US |
dc.subject.mesh | Young Adult | en_US |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Anxiety | en_US |
dc.subject.mesh | Australia | en_US |
dc.subject.mesh | Depression | en_US |
dc.subject.mesh | Electronic Mail | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Internet | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Medication Adherence | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | New Zealand | en_US |
dc.subject.mesh | Patient Satisfaction | en_US |
dc.subject.mesh | Psychotherapy | en_US |
dc.subject.mesh | Surveys and Questionnaires | en_US |
dc.subject.mesh | Therapy, Computer-Assisted | en_US |
dc.subject.mesh | Treatment Outcome | en_US |
dc.subject.mesh | Young Adult | en_US |
dc.title | Improving Adherence and Clinical Outcomes in Self-Guided Internet Treatment for Anxiety and Depression: Randomised Controlled Trial | en_US |
dc.type | Journal Article | |
utslib.description.version | Published | en_US |
utslib.citation.volume | 7 | en_US |
utslib.citation.volume | 8 | en_US |
utslib.for | MD Multidisciplinary | en_US |
pubs.embargo.period | Not known | en_US |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Graduate School of Health | |
utslib.copyright.status | open_access | |
pubs.issue | 7 | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 8 | en_US |
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Filename | Description | Size | |||
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Improving adherence and clinical outcomes in self-guided internet treatment for anxiety and depression: randomised controlled trial.pdf | Published Version | 1.02 MB | Adobe PDF |
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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.Trial Registration: Australian and New Zealand Clinical Trials Registry ACTRN12610001058066. © 2013 Titov et al.
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