title: Taking computerized CBT beyond primary care.
abstract: OBJECTIVE
  This study seeks to determine whether the effectiveness of Beating the Blues (BtB), an established computer-based CBT (CCBT) programme, can extend beyond primary care.
  
  
  METHODS
  BtB was delivered and evaluated in an NHS specialist CBT care centre as part of routine care.
  
  
  METHODS
  A sample of 104 service users, typically displaying chronic levels of depression and/or anxiety received CCBT.
  
  
  RESULTS
  Completers' scores on the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), as well as on single-item rating scales for anxiety and depression, improved significantly following the intervention. Statistically significant differences held during intention-to-treat analyses. Almost half of the completer sample achieved reliable and clinically significant change. The results were benchmarked against national data sets.
  
  
  CONCLUSIONS
  These preliminary findings suggest a potential role for CCBT within secondary care as a first step, self-help treatment tool for anxiety and depression.
authors.affiliation: Psychology Department, City University, London, UK. despinasklearmouth@gmail.com
authors.forename: Despina
authors.initials: D
authors.lastname: Learmonth
authors.forename: Sadik
authors.initials: S
authors.lastname: Rai
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D019985:Benchmarking; D002908:Chronic Disease; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000295:instrumentation / Q000379:methods*; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000458:organization & administration; D011320:Primary Health Care / Q000379:methods; D012648:Self Care / Q000379:methods; D013813:Therapy, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D006113:United Kingdom; D014584:User-Computer Interface