Abstract
BackgroundEvidence 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.ObjectiveThis 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.MethodsParticipants 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.ResultsA 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.ConclusionsThe 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.
Highlights
Many adults experience depression in their lifetime, but a relatively small number seek or receive effective or evidence-based treatment for their difficulties [1]
The system described in the paper 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. (J Med Internet Res 2013;15(6):e121) doi:10.2196/jmir
This may be due to a number of factors, including stigma associated with seeking help for mental health difficulties, a lack of knowledge about different treatment options, as well as logistical or fiscal reasons
Summary
Background Many adults experience depression in their lifetime, but a relatively small number seek or receive effective or evidence-based treatment for their difficulties [1]. This may be due to a number of factors, including stigma associated with seeking help for mental health difficulties, a lack of knowledge about different treatment options, as well as logistical or fiscal reasons. Computerized programs have used a variety of therapeutic approaches, cognitive behavioral therapy (CBT) is the most common treatment approach in such programs. 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
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