Guided versus self-guided internet delivered cognitive behavioural therapy for diagnosed anxiety and related disorders: a preliminary meta-analysis.

Oey, LT; McDonald, S; McGrath, L; Dear, BF; Wootton, BM

Guided versus self-guided internet delivered cognitive behavioural therapy for diagnosed anxiety and related disorders: a preliminary meta-analysis.

Oey, LT McDonald, S

McGrath, L Dear, BF Wootton, BM

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Publisher:: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Cogn Behav Ther, 2023, 52, (6), pp. 654-671
Issue Date:: 2023-11

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Field	Value	Language
dc.contributor.author	Oey, LT
dc.contributor.author	McDonald, S https://orcid.org/0000-0001-8872-4852
dc.contributor.author	McGrath, L
dc.contributor.author	Dear, BF
dc.contributor.author	Wootton, BM
dc.date.accessioned	2023-11-12T22:39:45Z
dc.date.available	2023-11-12T22:39:45Z
dc.date.issued	2023-11
dc.identifier.citation	Cogn Behav Ther, 2023, 52, (6), pp. 654-671
dc.identifier.issn	1650-6073
dc.identifier.issn	1651-2316
dc.identifier.uri	http://hdl.handle.net/10453/173354
dc.description.abstract	Guided and self-guided internet-delivered cognitive-behavioural therapy (ICBT) has been demonstrated to be efficacious in the treatment of anxiety and related disorders (ARDs). The aim of the current study was to examine the efficacy of guided and self-guided ICBT for adults diagnosed with ARDs using a meta-analytic synthesis of randomised controlled trials directly comparing the two treatment approaches. Eleven studies (n = 1414) were included. There was a small, but significantly pooled between-group effect size at post-treatment (g = 0.16; 95% CI: 0.03-0.28) favouring guided ICBT. At follow-up, the between-group effect size was small and non-significant (g = 0.13; 95% CI: -0.04-0.30). Gender distribution moderated outcome at post-treatment (higher proportions of females resulted in a smaller between-group effect size). Type of support provided in the guided-treatment arm moderated treatment outcome at follow-up (those receiving synchronous support had a larger between-group effect size). Amount of guidance in the guided-treatment arm moderated effect sizes at post-treatment and follow-up (more guidance leading to larger between-group effect sizes). Automated reminders, disorder type, and treatment length did not moderate outcomes. The results suggest that guided and self-guided ICBT interventions result in similar outcomes, however guided interventions may be marginally more effective in the short term.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.relation.ispartof	Cogn Behav Ther
dc.relation.isbasedon	10.1080/16506073.2023.2250073
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.rights	This is an Accepted Manuscript of an article published by Taylor & Francis in Cognitive behaviour therapy on 01 Sep 2023, available online: http://www.tandfonline.com/10.1080/16506073.2023.2250073
dc.subject	1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Clinical Psychology
dc.subject.classification	52 Psychology
dc.title	Guided versus self-guided internet delivered cognitive behavioural therapy for diagnosed anxiety and related disorders: a preliminary meta-analysis.
dc.type	Journal Article
utslib.citation.volume	52
utslib.location.activity	England
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	open_access	*
utslib.copyright.embargo	2024-09-01T00:00:00+1000Z
dc.date.updated	2023-11-12T22:39:44Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	52
utslib.citation.issue	6

Abstract:

Guided and self-guided internet-delivered cognitive-behavioural therapy (ICBT) has been demonstrated to be efficacious in the treatment of anxiety and related disorders (ARDs). The aim of the current study was to examine the efficacy of guided and self-guided ICBT for adults diagnosed with ARDs using a meta-analytic synthesis of randomised controlled trials directly comparing the two treatment approaches. Eleven studies (n = 1414) were included. There was a small, but significantly pooled between-group effect size at post-treatment (g = 0.16; 95% CI: 0.03-0.28) favouring guided ICBT. At follow-up, the between-group effect size was small and non-significant (g = 0.13; 95% CI: -0.04-0.30). Gender distribution moderated outcome at post-treatment (higher proportions of females resulted in a smaller between-group effect size). Type of support provided in the guided-treatment arm moderated treatment outcome at follow-up (those receiving synchronous support had a larger between-group effect size). Amount of guidance in the guided-treatment arm moderated effect sizes at post-treatment and follow-up (more guidance leading to larger between-group effect sizes). Automated reminders, disorder type, and treatment length did not moderate outcomes. The results suggest that guided and self-guided ICBT interventions result in similar outcomes, however guided interventions may be marginally more effective in the short term.

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http://hdl.handle.net/10453/173354