J. Med. Internet Res. - A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression.

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Resumo

CKGROUND: Evidence suggests that Internet-delivered cognitive behavioral therapy (CBT) may be as effective as face-to-face delivery for depression, but attrition and engagement rates remain a challenge.OBJECTIVE: This service-based study aimed to evaluate an online, therapist-supported, CBT-based program for depression. The program was specifically designed to address engagement issues, most notably by integrating online therapist support and communication within the platform.METHODS: Participants were 80 adults who were registered university students. Participants used the modular online program over 8 weeks, supported by a therapist. Engagement information was gathered automatically by the online system, and analyzed for all participants. Severity of participants' self-reported symptoms of depression were assessed preintervention and postintervention using the Beck Depression Inventory-II (BDI-II). Postintervention measures were completed by 53 participants.RESULTS: A high level of engagement was observed compared to a previous study within the same service, along with extensive use of a range of program features. A statistically significant (P<.001) decrease in self-reported depressive symptomatology from preintervention (mean BDI-II 25.47) to postintervention (mean BDI-II 15.53) with a large effect size (d=1.17) was also observed.CONCLUSIONS: The results indicate the potential of unintrusive and easily provided online support to enhance engagement with online interventions. The system described in the paper also illustrates how such online support can be tightly integrated with interactive online programs by using a range of design strategies intended to improve the user experience.

Resumo Limpo

ckground evid suggest internetdeliv cognit behavior therapi cbt may effect facetofac deliveri depress attrit engag rate remain challengeobject servicebas studi aim evalu onlin therapistsupport cbtbase program depress program specif design address engag issu notabl integr onlin therapist support communic within platformmethod particip adult regist univers student particip use modular onlin program week support therapist engag inform gather automat onlin system analyz particip sever particip selfreport symptom depress assess preintervent postintervent use beck depress inventoryii bdiii postintervent measur complet participantsresult high level engag observ compar previous studi within servic along extens use rang program featur statist signific p decreas selfreport depress symptomatolog preintervent mean bdiii postintervent mean bdiii larg effect size d also observedconclus result indic potenti unintrus easili provid onlin support enhanc engag onlin intervent system describ paper also illustr onlin support can tight integr interact onlin program use rang design strategi intend improv user experi

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