- Title
- MindSpot Clinic : An accessible, efficient, and effective online treatment service for anxiety and depression
- Creator
- Titov, Nickolai; Dear, Blake; Staples, Lauren; Bennett-Levy, James; Klein, Britt; Rapee, Ronald; Shann, Clare; Richards, David; Andersson, Gerhard; Ritterband, Lee; Purtell, Carol; Bezuidenhout, Greg; Johnston, Luke; Nielssen, Olav
- Date
- 2015
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/157368
- Identifier
- vital:11607
- Identifier
-
https://doi.org/10.1176/appi.ps.201400477
- Identifier
- ISSN:1075-2730
- Abstract
- OBJECTIVE: The main objective of this study was to report the feasibility of delivering online cognitive-behavioral therapy (iCBT) treatments for anxiety and depression in a national public mental health service. METHODS: A prospective noncontrolled cohort study was conducted of all patients who began assessment or treatment at the MindSpot Clinic from January through December 2013. Clinic services were used by a representative cross-section of the Australian population. Mean age at assessment was 36.4+/-13.0 years, and age range was 18-86 years. Patients completed one of four online courses over eight weeks, during which they received weekly support from a therapist via telephone or secure e-mail. Primary outcome measures were the nine-item Patient Health Questionnaire (PHQ-9) and the seven-item Generalized Anxiety Disorder scale (GAD-7) administered at posttreatment and three months posttreatment. RESULTS: A total of 10,293 adults who self-identified as having problems with anxiety or depression commenced assessment, and 7,172 completed the assessment and were eligible for analysis. Of these, 2,049 enrolled in a course and 1,471 completed the course, for a course completion rate of 71.8%. Moderate to large noncontrolled effect sizes (Cohen's d=.67-1.66, 95% confidence interval=.08-2.07) were found from assessment to three-month follow-up. At posttreatment and follow-up, reliable recovery ranged from 46.7% to 51.1%, and deterioration ranged from 1.9% to 3.8%. Mean total therapist time per patient was 111.8+/-61.6 minutes. CONCLUSIONS: The MindSpot Clinic produced treatment outcomes that were comparable to results from published clinical trials of iCBT. This model of service delivery represents an innovative method of providing accessible, low-cost, effective, and acceptable mental health services to many people who currently are not receiving care.
- Relation
- Psychiatric Services Vol. 66, no. 10 (2015), p. 1043-1050
- Rights
- © American Psychiatric Association. All rights reserved.
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1117 Public Health and Health Services
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