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dc.contributor.authorGilbody, Simon
dc.contributor.authorBrabyn, Sally
dc.contributor.authorLovell, Karina
dc.contributor.authorKessler, David
dc.contributor.authorDevlin, Thomas
dc.contributor.authorSmith, Lucy
dc.contributor.authorAraya, Ricardo
dc.contributor.authorBarkham, Michael
dc.contributor.authorBower, Peter
dc.contributor.authorCooper, Cindy
dc.contributor.authorKnowles, Sarah
dc.contributor.authorLittlewood, Elizabeth
dc.contributor.authorRichards, David A.
dc.contributor.authorTallon, Debbie
dc.contributor.authorWhite, David
dc.contributor.authorWorthy, Gillian
dc.date.accessioned2018-03-13T09:19:53Z
dc.date.available2018-03-13T09:19:53Z
dc.date.issued2018-01-02
dc.identifier.citationGilbody, 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.en
dc.identifier.issn00071250
dc.identifier.doi10.1192/bjp.bp.116.192435
dc.identifier.urihttp://hdl.handle.net/10545/622277
dc.description.abstractBackground 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.
dc.description.sponsorshipN/Aen
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.relation.urlhttps://www.cambridge.org/core/product/identifier/S0007125000281439/type/journal_articleen
dc.rightsArchived with thanks to British Journal of Psychiatryen
dc.subjectCognitive behaviour therapyen
dc.subjectDepressionen
dc.titleTelephone-supported computerised cognitive–behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled trial.en
dc.typeArticleen
dc.identifier.eissn14721465
dc.contributor.departmentUniversity of Yorken
dc.contributor.departmentUniversity of Manchesteren
dc.contributor.departmentUniversity of Bristolen
dc.contributor.departmentLondon School of Hygiene and Tropical Medicineen
dc.contributor.departmentUniversity of Sheffielden
dc.contributor.departmentUniversity of Exeteren
dc.identifier.journalBritish Journal of Psychiatryen
html.description.abstractBackground 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.


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