This meta-analysis evaluates the efficacy of guided self-help ICBT (GSH ICBT) and unguided self-help ICBT (SH ICBT) against active and passive control conditions in adults with OCD. Open access article - no login required.
The review showed that robust evidence for the effectiveness of iCBT as an add-on to TAU is still limited, with results not necessarily generalisable to people from different backgrounds based on age, gender, education, and mental healthcare settings. Clearly more research is needed, as remotely delivered, self-guided iCBT has the promise to increase accessibility and be more cost-effective.
These three papers suggest telemental health could be used in future response-planning to an emergency which renders face-to-face care unsafe. For it to be widely incorporated into routine care going forward, a personalised approach must be considered, which applies the ‘good’ aspects of telemental health, mitigates the ‘bad’ aspects and avoids the ‘ugly’ inequality gap it has the potential to widen. This has implications for how services could adapt and improve to accommodate telemental health.