Utilization of internet-delivered cognitive behavioural therapy (iCBT) for treating depression and anxiety disorders in stepped-care models, such as the UK's Improving Access to Psychological Therapies (IAPT), is a potential solution addressing treatment gap mental health. We investigated effectiveness cost-effectiveness iCBT when fully integrated within IAPT settings. conducted an 8-week pragmatic randomized controlled trial with 2:1 (iCBT intervention: waiting-list) allocation,...

<h3>Importance</h3> The mechanisms by which engagement with internet-delivered psychological interventions are associated depression and anxiety symptoms unclear. <h3>Objective</h3> To identify behavior types based on how people engage an internet-based cognitive behavioral therapy (iCBT) intervention for of anxiety. <h3>Design, Setting, Participants</h3> Deidentified data 54 604 adult patients assigned to the Space From Depression Anxiety treatment program from January 31, 2015, March 2019,...

Background Internet interventions can easily generate objective data about program usage. Increasingly, more studies explore the relationship between usage and outcomes, but they often report different metrics of use, findings are mixed. Thus, current evaluations fail to demonstrate which should be considered how these related clinically meaningful change. Objective This study aimed several outcomes an internet-based intervention for depression. Methods is a secondary analysis from...

Online mental health interventions are increasingly important in providing access to, and supporting the effectiveness of, treatment. While these technologies effective, user attrition early disengagement key challenges. Evidence suggests that integrating a human supporter into such services mitigates challenges, however, it remains under-studied how involvement benefits client outcomes, to maximize effects. We present our analysis of 234,735 messages discover different support strategies...

Depression and anxiety are common mental health disorders worldwide. The UK's Improving Access to Psychological Therapies (IAPT) programme is part of the National Health Service (NHS) designed provide a stepped care approach treating people with depressive disorders. Cognitive Behavioural Therapy (CBT) widely used, computerised internet-delivered cognitive behavioural therapy (cCBT iCBT, respectively) being suitable IAPT approved treatment alternative for step 2, low- intensity treatment....

Background: The UK's Improving Access to Psychological Therapies (IAPT) program is a stepped-care model treating individuals with depression and anxiety disorders. Internet-delivered cognitive behavioral therapy (iCBT) routinely offered mild moderate symptoms, but its applicability severe clinical symptoms requiring high-intensity intervention relatively unknown. current study sought investigate the potential impacts of using iCBT as prequel for patients treatment (HIT; face-to-face) in...

Abstract Purpose Generic health measures have been questioned for quantifying mental-health-related outcomes. In patients with anxiety and/or depression, our aim is to assess the psychometric properties of preference-based EQ-5D-5L (generic health) and ReQoL-UI (recovery-focussed quality life) economic evaluation against PHQ-9 (depression) GAD-7 (anxiety). anxiety/depression item ReQoL-10 are also assessed. Methods A 2:1 (intervention: control) randomised controlled trial collected at...

Introduction. Depression and anxiety significantly impact labour participation productivity, leading to adverse health economic outcomes at a population level. Internet-based Cognitive Behavioural Therapy (iCBT) has emerged as cost-effective intervention within workplace settings, but more generalisable evidence is lacking. This naturalistic, observational study investigated the of iCBT on work-related using nationally representative data from patients enrolled in routine care Ireland....

Previous studies have demonstrated the effects of positive psychological factors on pain adjustment. Specifically, optimism has been linked to better physical functioning and less distress. Until recently, these beneficial mostly examined in correlational or laboratory settings. The aim this study was test efficacy Best Possible Self intervention using information communication technologies with fibromyalgia patients.Seventy-one patients were randomly allocated a Daily Activities control...

Digital mental health interventions (DMHIs) have potential to provide effective and accessible care entire populations, but low client uptake engagement are significant problems. Few prior studies explore the lived experiences of non-engagers, because reaching this population is inherently difficult. We present an observational inquiry into barriers sign-up early use a DMHI, along with reasons for initial interest in DMHI. collected 205 online questionnaire responses 20 interviews from...

Low-intensity interventions for common mental disorders (CMD) address issues such as clinician shortages and barriers to accessing care. However, there is a lack of research into their comparative effectiveness in routine We aimed compare treatment effects three interventions, utilizing four years' worth clinical data. Users completing course guided self-help bibliotherapy (GSH), internet-delivered cognitive behavioural therapy (iCBT) or psychoeducational group (PGT) from stepped-care...

Abstract Background In recent years, exponential growth in digital innovations and internet access has provided opportunities to deliver health services at a much greater scale than previously possible. Evidence-based technology-enabled interventions can provide cost-effective, accessible, resource-efficient solutions for addressing mental issues. This study evaluated the first year of supported cognitive behavioral therapy (CBT) service by national Ireland, which been accessible individuals...

In treating depression and anxiety, just over half of all clients respond. Monitoring obtaining early client feedback can allow for rapidly adapted treatment delivery improve outcomes. This study seeks to develop a state-of-the-art deep-learning framework predicting clinical outcomes in internet-delivered Cognitive Behavioural Therapy (iCBT) by leveraging large-scale, high-dimensional time-series data client-reported mental health symptoms platform interaction data. We use de-identified from...

Exposure to new stressors places college students at increased risk for developing mental health problems. Preventive interventions aimed enhancing resilience have the potential improve and well-being in internet-delivery may access these interventions. However, few studies evaluated efficacy of online students. The present study seeks assess feasibility [initial acceptability] a newly developed internet-delivered intervention provided with human or automated support, sample A pilot...

Bipolar disorder (BD) is a chronic condition that requires continued care. Psychological interventions are recommended by clinical guidelines but there treatment barriers prevent patients to access these services. Internet-delivered self-management promising alternatives improve accessibility in with BD. Several studies indicate acceptable and beneficial for BD, no have been conducted routine care settings. This trial aimed examine the feasibility, acceptability, preliminary efficacy of...

College students are at elevated risk for developing mental health problems and face specific barriers around accessing evidence-based treatment. Web-based interventions that focus on promotion strengthening resilience represent one possible solution. Providing support to users has shown reduce dropout in these interventions. Further research is needed assess the efficacy acceptability of explore viability automating support.

Treatment dropout continues to be reported from internet-delivered cognitive behavioral therapy (iCBT) interventions, and lower completion rates are generally associated with treatment effect sizes. However, evidence is emerging suggest that of a predefined number modules not always necessary for clinical benefit or consideration the needs each individual patient.The aim this study perform qualitative analysis patients' experiences an iCBT intervention in routine care setting achieve deeper...

Abstract Objective To investigate post‐treatment relapse and remission rates 3, 6 9 months after completion of an acute phase a clinician‐supported internet‐delivered cognitive‐behavioural therapy (iCBT) for anxiety depressive symptoms, within routine care setting. Method Secondary analysis from 12‐month pragmatic randomized‐controlled trial delivered the Improving Access to Psychological Therapies (IAPT) programme in England. Participants intervention arm were included if they met criteria...

Abstract Background Research has shown that internet-based cognitive behavioural therapy (iCBT) can be a very promising solution to increase access and the dissemination of evidence-based treatments all population in need. However, iCBT is still underutilized clinical contexts, such as primary care. In order achieve effective implementation these protocols, more studies ecological settings are needed. The Unified Protocol (UP) transdiagnostic CBT protocol for treatment emotional disorders,...

Traditionally, evidence-based treatments for depression have focused on negative symptoms. Different authors describe the need to include positive affect as a major target of treatment. Positive psychology aims fill this gap. Reaching everyone in is also important, and Internet-based interventions can help task. The present study secondary analysis derived from randomized controlled trial aimed test efficacy an intervention patients with depressive This consisted 8-module program that...

Abstract Objectives Psychological interventions designed to enhance positive affect are promising ways promote adaptive functioning in people with chronic pain. However, few studies have addressed the efficacy of pain populations and examined which patients can benefit more from them. The aim present study was identify mediators moderators best possible self intervention (BPS) fibromyalgia patients. Methods We used data a previous randomized controlled trial that changes interference,...