Use of a Fully Automated Internet-Based Cognitive Behavior Therapy Intervention in a Community Population of Adults With Depression Symptoms: Randomized Controlled Trial
| Autor: | John H. Greist, Mark B. Schure, Janet C. Lindow, William L Bryan, Paul A. Nakonezny, Sandra J. Bailey, Matthew J. Byerly |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty rural populations 020205 medical informatics Population Psychological intervention CBT Health Informatics 02 engineering and technology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) iCBT 0202 electrical engineering electronic engineering information engineering medicine Humans education Suicidal ideation Depression (differential diagnoses) internet-based cognitive behavior therapy Original Paper Internet education.field_of_study Cognitive Behavioral Therapy Depression business.industry Odds ratio 3. Good health 030227 psychiatry Treatment Outcome depression symptoms randomized controlled trial Physical therapy Anxiety Female Public Health medicine.symptom business RCT |
| Zdroj: | Journal of Medical Internet Research |
| ISSN: | 1438-8871 |
| Popis: | Background Although internet-based cognitive behavior therapy (iCBT) interventions can reduce depression symptoms, large differences in their effectiveness exist. Objective The aim of this study was to evaluate the effectiveness of an iCBT intervention called Thrive, which was designed to enhance engagement when delivered as a fully automated, stand-alone intervention to a rural community population of adults with depression symptoms. Methods Using no diagnostic or treatment exclusions, 343 adults with depression symptoms were recruited from communities using an open-access website and randomized 1:1 to the Thrive intervention group or the control group. Using self-reports, participants were evaluated at baseline and 4 and 8 weeks for the primary outcome of depression symptom severity and secondary outcome measures of anxiety symptoms, work and social adjustment, psychological resilience, and suicidal ideation. Results Over the 8-week follow-up period, the intervention group (n=181) had significantly lower depression symptom severity than the control group (n=162; P Conclusions These findings suggest that the Thrive intervention was effective in reducing depression and anxiety symptom severity and improving functioning and resilience among a mostly rural community population of US adults. The effect sizes associated with Thrive were generally larger than those of other iCBT interventions delivered as a fully automated, stand-alone intervention. Trial Registration ClinicalTrials.gov NCT03244878; https://clinicaltrials.gov/ct2/show/NCT03244878 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|