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    Telephone-supported computerised cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled trial.

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    Authors
    Gilbody, Simon
    Brabyn, 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
    Show allShow less
    Affiliation
    University of York
    University of Manchester
    University of Bristol
    London School of Hygiene and Tropical Medicine
    University of Sheffield
    University of Exeter
    Issue Date
    2018-01-02
    
    Metadata
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    Abstract
    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 Press
    Journal
    British Journal of Psychiatry
    URI
    http://hdl.handle.net/10545/622277
    DOI
    10.1192/bjp.bp.116.192435
    Additional Links
    https://www.cambridge.org/core/product/identifier/S0007125000281439/type/journal_article
    Type
    Article
    Language
    en
    ISSN
    00071250
    EISSN
    14721465
    ae974a485f413a2113503eed53cd6c53
    10.1192/bjp.bp.116.192435
    Scopus Count
    Collections
    Department of Humanities

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