Telephone-supported computerised cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled trial.
Authors
Gilbody, SimonBrabyn, Sally
Lovell, Karina
Kessler, David
Devlin, Thomas
Smith, Lucy
Araya, Ricardo
Barkham, Michael
Bower, Peter
Cooper, Cindy
Knowles, Sarah
Littlewood, Elizabeth
Richards, David A.
Tallon, Debbie
White, David
Worthy, Gillian
Affiliation
University of YorkUniversity of Manchester
University of Bristol
London School of Hygiene and Tropical Medicine
University of Sheffield
University of Exeter
Issue Date
2018-01-02
Metadata
Show full item recordAbstract
Background Computerised cognitive–behavioural therapy (cCBT) for depression has the potential to be efficient therapy but engagement is poor in primary care trials. Aims We tested the benefits of adding telephone support to cCBT. Method We compared telephone-facilitated cCBT (MoodGYM) ( n = 187) to minimally supported cCBT (MoodGYM) ( n = 182) in a pragmatic randomised trial (trial registration: ISRCTN55310481). Outcomes were depression severity (Patient Health Questionnaire (PHQ)-9), anxiety (Generalized Anxiety Disorder Questionnaire (GAD)-7) and somatoform complaints (PHQ-15) at 4 and 12 months. Results Use of cCBT increased by a factor of between 1.5 and 2 with telephone facilitation. At 4 months PHQ-9 scores were 1.9 points lower (95% CI 0.5–3.3) for telephone-supported cCBT. At 12 months, the results were no longer statistically significant (0.9 PHQ-9 points, 95% CI –0.5 to 2.3). There was improvement in anxiety scores and for somatic complaints. Conclusions Telephone facilitation of cCBT improves engagement and expedites depression improvement. The effect was small to moderate and comparable with other low-intensity psychological interventions.Citation
Gilbody, S. et al (2018) 'Telephone-supported computerised cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled trial', British Journal of Psychiatry, 210 (05):362.Publisher
Cambridge University PressJournal
British Journal of PsychiatryDOI
10.1192/bjp.bp.116.192435Additional Links
https://www.cambridge.org/core/product/identifier/S0007125000281439/type/journal_articleType
ArticleLanguage
enISSN
00071250EISSN
14721465ae974a485f413a2113503eed53cd6c53
10.1192/bjp.bp.116.192435