J Telemed Telecare - Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis.


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Telephone-delivered cognitive behavioural therapy (CBT) is an increasingly popular mode of delivering care. We conducted a systematic review which focused on physical health outcomes. Literature searches were conducted to identify randomized controlled trials (RCTs) comparing telephone-delivered CBT for improving physical health with any other therapy or routine care in patients with chronic illness. Eight RCTs (1093 patients) met the eligibility criteria and were included in the review. Six of the eight RCTs compared the telephone intervention with routine care, one trial employed symptom monitoring as the control condition and the final trial compared telephone CBT to telephone supportive emotion-focused therapy. Meta-analysis found that telephone-delivered CBT significantly improved physical health in people with chronic illness (d = 0.225, 95% CI = 0.105, 0.344). Moderator analyses found that less therapist contact was associated with better outcomes, and telephone-delivered CBT was more effective for chronic illnesses that are not immediately life-threatening. The results of the meta-analysis support the use of telephone-delivered CBT as a tool for improving health in people with chronic illness. There is a need for future trials to evaluate cost-effectiveness.

Resumo Limpo

telephonedeliv cognit behaviour therapi cbt increas popular mode deliv care conduct systemat review focus physic health outcom literatur search conduct identifi random control trial rcts compar telephonedeliv cbt improv physic health therapi routin care patient chronic ill eight rcts patient met elig criteria includ review six eight rcts compar telephon intervent routin care one trial employ symptom monitor control condit final trial compar telephon cbt telephon support emotionfocus therapi metaanalysi found telephonedeliv cbt signific improv physic health peopl chronic ill d ci moder analys found less therapist contact associ better outcom telephonedeliv cbt effect chronic ill immedi lifethreaten result metaanalysi support use telephonedeliv cbt tool improv health peopl chronic ill need futur trial evalu costeffect

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