title: Up-scaling clinician assisted internet cognitive behavioural therapy (iCBT) for depression: A model for dissemination into primary care.
abstract: Depression is a global health problem but only a minority of people with depression receive even minimally adequate treatment. Internet delivered automated cognitive behaviour therapy (iCBT) which is easily distributed and in which fidelity is guaranteed could be one solution to the problem of increasing coverage. In this review of iCBT for Major Depressive Disorder in adults, we address the concerns of clinicians in utilizing this technology by reviewing the research evidence with reference to efficacy and effectiveness and presenting a model for dissemination and uptake of iCBT into practice. This review includes studies of participants who would meet criteria for major depressive disorder who were supported as they learnt and implemented changes in thoughts, emotions and behaviours by using cognitive behaviour principles. We conclude that this form of treatment is effective and acceptable to both patients and clinicians.
authors.affiliation: School of Psychiatry, University of New South Wales, Sydney, NSW, Australia; Clinical Research Unit for Anxiety and Depression (CRUfAD), St. Vincent's Hospital, Sydney, NSW, Australia. Electronic address: gavina@unsw.edu.au.
authors.forename: Gavin
authors.initials: G
authors.lastname: Andrews
authors.affiliation: School of Psychiatry, University of New South Wales, Sydney, NSW, Australia; Clinical Research Unit for Anxiety and Depression (CRUfAD), St. Vincent's Hospital, Sydney, NSW, Australia.
authors.forename: Alishia D
authors.initials: AD
authors.lastname: Williams
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003865:Major Depressive Disorder / Q000628:therapy*; D006801:Humans; D020407:Internet; D011320:Primary Health Care / Q000379:methods*; D016896:Treatment Outcome
keywords: Depression; Dissemination; Effectiveness; Internet cognitive behaviour therapy (iCBT)