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Conclusions: The results suggest that adding M-CT to TAU is not effective and cost effective compared to TAU alone. Adherence rates were similar to other studies and therefore do not explain this finding. The participants scarcely booked additional therapist support, resulting in 17.3 minutes of mean total therapist support. More studies are needed to examine the cost effectiveness of internet-based interventions with respect to long-term outcomes and the role and optimal dosage of therapist support. Overall, more research is needed on scalable and cost-effective interventions that can reduce the burden of recurrent MDD.
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Psychotherapy is a complex intervention, consisting of various components and being implemented flexibly in consideration of individual patient’s characteristics. It is then of utmost importance to know which of the various components or combinations thereof are more efficacious, what their specific effect sizes are and which types of patients may benefit more from different components or their combinations. Open Access Article
Psychological Services (Nov 8, 2018). DOI:10.1037/ser0000261
Depression is common in primary care settings, but barriers prevent many primary care patients from initiating treatment. Smartphone apps stand as a possible means to overcome such barriers. However, there is limited evidence to understand the use and efficacy of these apps. The purpose of the current study was to pilot an evaluation of the usage and efficacy of apps for depression based upon behavioral or cognitive intervention skills, compared to a wait-list control.. To read the full article, log in using your MPFT NHS OpenAthens details.
Psychological Services (Nov 8, 2018). DOI:10.1037/ser0000286
In this brief state of the science review, we provide a synopsis of the literature on psychological health mobile applications (apps) and discuss the impact of mobile technology on psychological health practice. We describe the variety of psychological health app uses from self-management, skills training, and supportive care to symptom tracking and data collection; and we summarize the current evidence for the efficacy and effectiveness of psychological health apps. Finally, we offer some pragmatic suggestions for evaluating psychological health apps for quality and clinical utility. (PsycINFO Database Record (c) 2018 APA, all rights reserved) (Source: journal abstract). To read the full article, log in using your MPFT NHS OpenAthens details.
Deputy Director of the Grenfell Health and Wellbeing Service shares how they’re using virtual reality to increase access to psychological therapies in a blog published by NHS England.
A psychological therapies service run by Surrey and Borders Partnership NHS Foundation Trust has expanded its provision of online appointments to allow people to access therapy in a more flexible and helpful way.
The Mind Matters IAPT service provides psychological therapies to people experiencing mild to moderate mental health conditions such as stress, anxiety and depression to help them regain their wellbeing.
Online appointments will now be available using Skype for Business, as well as existing platforms; Big White Wall and SilverCloud. Therapy is delivered via video and audio, and Skype for Business can be used on laptops and smart phones, making access to therapy easier and more flexible
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A year-long tele-therapy pilot study, funded by The Forces in Mind Trust (FiMT) and undertaken by Combat Stress, has shown it to be an accessible, flexible and cost-effective approach to delivering trauma-focused therapies. Tele-therapy provides therapy through a live video connection, over the internet such as Skype.
The article offers information on a study on provision of psychological interventions through the internet. Topics discussed include tendency of people to create a mental image, or fantasy, of a person they are communicating with online; methods of using technology to widen access to cognitive behavioural interventions; and increases patient contact time with a therapist with Internet-enabled CBT.. To read the full article, log in using your MPFT NHS OpenAthens details.
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Sarah Knowles on a next-generation social media-based relapse prevention intervention for youth depression, explored in an Australian qualitative study.
European Psychologist Vol. 23, Iss. 2, (2018): 167-187.
The majority of mental health disorders remain untreated. Many limitations of traditional psychological interventions such as limited availability of evidence-based interventions and clinicians could potentially be overcome by providing Internet- and mobile-based psychological interventions (IMIs). This paper is a report of the Taskforce E-Health of the European Federation of Psychologists’ Association and will provide an introduction to the subject, discusses areas of application, and reviews the current evidence regarding the efficacy of IMIs for the prevention and treatment of mental disorders.. To read the full article, log in using your NHS OpenAthens details.
Over‐the‐telephone (OTT)‐delivered psychological therapies as an alternative method to face‐to‐face (F2F) are becoming more prevalent in mental health care. Research suggests a range of benefits of OTT use in therapy, but there are growing concerns about its consequences for the therapeutic relationship. This paper presents new knowledge regarding psychological practitioners’ experience and views of OTT work and its potential effects on the therapeutic relationship in the context of the UK's Increasing Access to Psychological Therapy (IAPT) programme.
Depression and anxiety are common mental health disorders worldwide. The UK’s Improving Access to Psychological Therapies (IAPT) programme is part of the National Health Service (NHS) designed to provide a stepped care approach to treating people with anxiety and depressive disorders. Cognitive Behavioural Therapy (CBT) is widely used, with computerised and internet-delivered cognitive behavioural therapy (cCBT and iCBT, respectively) being a suitable IAPT approved treatment alternative for step 2, low- intensity treatment. iCBT has accumulated a large empirical base for treating depression and anxiety disorders. However, the cost-effectiveness and impact of these interventions in the longer-term is not routinely assessed by IAPT services. The current study aims to evaluate the clinical and cost-effectiveness of internet-delivered interventions for symptoms of depression and anxiety disorders in IAPT.