Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial

@article{Kessler2009TherapistdeliveredIP,
  title={Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial},
  author={David S Kessler and Glyn Lewis and Surinder Kaur and Nicola Wiles and Michael King and Scott Weich and Debbie Sharp and Ricardo Araya and Sandra Hollinghurst and Tim J. Peters},
  journal={The Lancet},
  year={2009},
  volume={374},
  pages={628-634}
}

Tables from this paper

The clinical and cost effectiveness of cognitive behavioural therapy plus treatment as usual for the treatment of depression in advanced cancer (CanTalk): study protocol for a randomised controlled trial
TLDR
This trial will provide data on the clinical and cost effectiveness of CBT for people with advanced cancer and depression, and gain an understanding of the feasibility of delivering care to this group through IAPT.
Cost-effectiveness of therapist-delivered online cognitive–behavioural therapy for depression: randomised controlled trial
TLDR
Online CBT delivered by a therapist in real time is likely to be cost-effective compared with usual care if society is willing to pay at least £20 000 per QALY; it could be a useful alternative to face-to-face CBT.
A Randomised Controlled Trial of Therapist-Assisted, Internet-Delivered Cognitive Behavior Therapy for Women with Maternal Depression
TLDR
TA-ICBT participants demonstrated a reduction in postnatal anxiety, general stress, and parental distress, and an increase in psychological and environmental quality of life when compared to the waitlist control participants.
Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): large scale pragmatic randomised controlled trial
TLDR
This was a pragmatic, multicentre, three arm, parallel randomised controlled trial with simple randomisation that randomised participants to receive a commercially produced cCBT programme (“Beating the Blues”) or a free to use cC BT programme (MoodGYM).
Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): large scale pragmatic randomised controlled trial
TLDR
Neither a commercially available nor free to use computerised CBT intervention was superior to usual GP care, and findings cannot be generalised to cCBT offered with a much higher level of guidance and support.
Effectiveness of cognitive behavioural therapy in primary health care: a review.
TLDR
CBT delivered in primary care, especially including computer- or Internet-based self-help programs, is potentially more effective than usual care and could be delivered effectively by primary care therapists.
Cognitive behaviour therapy for depression in primary care: systematic review and meta-analysis
TLDR
It is concluded that CBT appears to be effective for patients with depression in primary care, and it is recommended that patients with mild to moderate depression be offered CBT inPrimary care.
CBT for depression: a pilot RCT comparing mobile phone vs. computer
TLDR
Evidence is provided to indicate that delivering a CBT program using a mobile application, can result in clinically significant improvements in outcomes for patients with depression.
A pragmatic randomised controlled trial to compare antidepressants with a community-based psychosocial intervention for the treatment of women with postnatal depression: the RESPOND trial.
TLDR
Women were more than twice as likely to have improved if they had been randomised to antidepressants compared with listening visits, and no statistical support existed for a benefit of antidepressants at 18 weeks, but 95% CIs could not rule out a clinically important benefit.
...
...

References

SHOWING 1-10 OF 32 REFERENCES
Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: Randomised controlled trial
TLDR
Computer-delivered CBT is a widely applicable treatment for anxiety and/or depression in general practice and interacted with severity such that computerised therapy did better than usual treatment for more disturbed patients.
Online randomized controlled trial of brief and full cognitive behaviour therapy for depression
TLDR
An exploratory investigation of the parameters that influence the effectiveness and retention of users on open access websites and whether brief cognitive behaviour therapy was as effective as an extended version, whether add-on components of behaviour therapy or stress management contributed to positive outcomes, and whether longer programs were associated with greater attrition.
Delivering interventions for depression by using the internet: randomised controlled trial
TLDR
Depression literacy (BluePages) significantly improved participants' understanding of effective evidence based treatments for depression (P < 0.05) and both cognitive behaviour therapy and psychoeducation delivered via the internet are effective in reducing symptoms of depression.
Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. II: Cost effectiveness
TLDR
The data suggest that both brief psychological therapies may be significantly more cost effective than usual care in the short term, as benefit was gained with no significant difference in cost.
Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial.
TLDR
For primary care patients beginning antidepressant treatment, a telephone program integrating care management and structured cognitive-behavioral psychotherapy can significantly improve satisfaction and clinical outcomes.
Cognitive therapy vs medications in the treatment of moderate to severe depression.
TLDR
Cognitive therapy can be as effective as medications for the initial treatment of moderate to severe major depression, but this degree of effectiveness may depend on a high level of therapist experience or expertise.
THE REVISED COGNITIVE THERAPY SCALE (CTS-R): PSYCHOMETRIC PROPERTIES
The existing scale for assessing competence in cognitive therapy (CTS) dates from 1988 and only the previous version of 1980 has been validated to any extent. A revised version, the CTS-R, was
Opportunity cost of antidepressant prescribing in England: analysis of routine data
TLDR
The opportunity cost of the recent rise in antidepressant prescribing is estimated by valuing it in terms of an effective alternative treatment—cognitive behaviour therapy, and the number of patients that could have been treated using cognitive behaviour therapy is estimated.
Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers
TLDR
Two reliability studies of the revised Clinical Interview Schedule (CIS-R) were conducted in primary health care clinics in London and Santiago, Chile and indicated that traditional measures of reliability are probably overestimates.
Primary‐care patients’ expectations and experiences of online cognitive behavioural therapy for depression: a qualitative study
TLDR
Expectations and experiences of online cognitive behavioural therapy among primary‐care patients with depression are explored, focusing on how this mode of delivery impacts upon the therapeutic experience.
...
...