Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome

L.E. de Graaf; M.J.H. Huibers; H. Riper; S.A.H. Gerhards; A. Arntz

doi:10.1016/j.jad.2008.12.009

Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome

L.E. de Graaf^*, M.J.H. Huibers, H. Riper, S.A.H. Gerhards, A. Arntz

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: In a recent randomized trial, we were unable to confirm the previously reported high effectiveness of CCBT. Therefore, the aim of the current study was to have a closer look at usage and acceptability (i.e. expectancy, credibility, and satisfaction) of the intervention.

Methods: Depressed participants (N = 200) were given login codes for unsupported online CCBT. A track-and-trace system tracked which components were used. We used a 9-month follow-up period.

Results: Uptake was sufficient, but dropout was high. Many usage indices were positively associated with short-term depressive improvement, whereas only homework was related to long-term improvement. Acceptability was good and expectancy could predict long-term, but not short-term outcome.

Limitations: Associations between use of CCBT and improvement are merely correlational. Our sample was too depressed in relation to the scope of the intervention. We relied on online self-report measures. Analyses were exploratory in nature.

Conclusions: Although CCBT might be a feasible and acceptable treatment for depression, means to improve treatment adherence are needed for moderately to severely depressed individuals.

Original language	English
Pages (from-to)	227-231
Journal	Journal of Affective Disorders
Volume	116
Issue number	3
DOIs	https://doi.org/10.1016/j.jad.2008.12.009
Publication status	Published - 2009
Externally published	Yes

Bibliographical note

Funding Information:
The trial is financed by ZonMw (Netherlands Organisation for Health Research and Development; project number 945-04-417), research institute EPP and research institute CAPHRI. Municipalities Eijsden, Meerssen, Sittard-Geleen, Valkenburg and Maastricht sponsored the study. The study sponsors had no role in the design of the study; in the collection, analysis, and interpretation of the data; in the writing of the report; and in the decision to submit the article for publication.

Funding

The trial is financed by ZonMw (Netherlands Organisation for Health Research and Development; project number 945-04-417), research institute EPP and research institute CAPHRI. Municipalities Eijsden, Meerssen, Sittard-Geleen, Valkenburg and Maastricht sponsored the study. The study sponsors had no role in the design of the study; in the collection, analysis, and interpretation of the data; in the writing of the report; and in the decision to submit the article for publication.

Keywords

Acceptability
Adherence
Computerized cognitive behavioral therapy
Depression
Uptake

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jad.2008.12.009

Cite this

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title = "Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome",

abstract = "Background: In a recent randomized trial, we were unable to confirm the previously reported high effectiveness of CCBT. Therefore, the aim of the current study was to have a closer look at usage and acceptability (i.e. expectancy, credibility, and satisfaction) of the intervention. Methods: Depressed participants (N = 200) were given login codes for unsupported online CCBT. A track-and-trace system tracked which components were used. We used a 9-month follow-up period. Results: Uptake was sufficient, but dropout was high. Many usage indices were positively associated with short-term depressive improvement, whereas only homework was related to long-term improvement. Acceptability was good and expectancy could predict long-term, but not short-term outcome. Limitations: Associations between use of CCBT and improvement are merely correlational. Our sample was too depressed in relation to the scope of the intervention. We relied on online self-report measures. Analyses were exploratory in nature. Conclusions: Although CCBT might be a feasible and acceptable treatment for depression, means to improve treatment adherence are needed for moderately to severely depressed individuals.",

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author = "{de Graaf}, L.E. and M.J.H. Huibers and H. Riper and S.A.H. Gerhards and A. Arntz",

note = "Funding Information: The trial is financed by ZonMw (Netherlands Organisation for Health Research and Development; project number 945-04-417), research institute EPP and research institute CAPHRI. Municipalities Eijsden, Meerssen, Sittard-Geleen, Valkenburg and Maastricht sponsored the study. The study sponsors had no role in the design of the study; in the collection, analysis, and interpretation of the data; in the writing of the report; and in the decision to submit the article for publication. ",

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AU - Riper, H.

AU - Gerhards, S.A.H.

AU - Arntz, A.

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PY - 2009

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N2 - Background: In a recent randomized trial, we were unable to confirm the previously reported high effectiveness of CCBT. Therefore, the aim of the current study was to have a closer look at usage and acceptability (i.e. expectancy, credibility, and satisfaction) of the intervention. Methods: Depressed participants (N = 200) were given login codes for unsupported online CCBT. A track-and-trace system tracked which components were used. We used a 9-month follow-up period. Results: Uptake was sufficient, but dropout was high. Many usage indices were positively associated with short-term depressive improvement, whereas only homework was related to long-term improvement. Acceptability was good and expectancy could predict long-term, but not short-term outcome. Limitations: Associations between use of CCBT and improvement are merely correlational. Our sample was too depressed in relation to the scope of the intervention. We relied on online self-report measures. Analyses were exploratory in nature. Conclusions: Although CCBT might be a feasible and acceptable treatment for depression, means to improve treatment adherence are needed for moderately to severely depressed individuals.

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Use and acceptability of unsupported online computerized cognitive behavioral therapy for depression and associations with clinical outcome

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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