title: Therapist-assisted Internet-delivered cognitive behavior therapy for depression and anxiety: translating evidence into clinical practice.
abstract: This dissemination study examined the effectiveness of therapist-assisted Internet-delivered Cognitive Behavior Therapy (ICBT) when offered in clinical practice. A centralized unit screened and coordinated ICBT delivered by newly trained therapists working in six geographically dispersed clinical settings. Using an open trial design, 221 patients were offered 12 modules of ICBT for symptoms of generalized anxiety (n=112), depression (n=83), or panic (n=26). At baseline, midpoint and post-treatment, patients completed self-report measures. On average, patients completed 8 of 12 modules. Latent growth curve modeling identified significant reductions in depression, anxiety, stress and impairment (d=.65-.78), and improvements in quality of life (d=.48-.66). Improvements in primary symptoms were large (d=.91-1.25). Overall, therapist-assisted ICBT was effective when coordinated across settings in clinical practice, but further attention should be given to strategies to improve completion of treatment modules.
authors.affiliation: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, Canada S4S 6J4. Electronic address: hadjista@uregina.ca.
authors.forename: H D
authors.initials: HD
authors.lastname: Hadjistavropoulos
authors.affiliation: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, Canada S4S 6J4. Electronic address: nicky.e.pugh@gmail.com.
authors.forename: N E
authors.initials: NE
authors.lastname: Pugh
authors.affiliation: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, Canada S4S 6J4. Electronic address: Marcie.Nugent@uregina.ca.
authors.forename: M M
authors.initials: MM
authors.lastname: Nugent
authors.affiliation: Department of Behavioural Sciences and Learning, Linköping University, SE-581 83 Linköping, Sweden. Electronic address: hugo.hesser@liu.se.
authors.forename: H
authors.initials: H
authors.lastname: Hesser
authors.affiliation: Department of Behavioural Sciences and Learning, Linköping University and Department of Clinical Neuroscience, Karolinska Institute, SE-581 83 Linköping, Sweden. Electronic address: gerhard.andersson@liu.se.
authors.forename: G
authors.initials: G
authors.lastname: Andersson
authors.affiliation: Department of Computer Science, University of Regina, 3737 Wascana Parkway, Regina, SK, Canada S4S 6J4. Electronic address: max.ivanov@uregina.ca.
authors.forename: M
authors.initials: M
authors.lastname: Ivanov
authors.affiliation: Department of Computer Science, University of Regina, 3737 Wascana Parkway, Regina, SK, Canada S4S 6J4. Electronic address: butz@cs.uregina.ca.
authors.forename: C G
authors.initials: CG
authors.lastname: Butz
authors.affiliation: Johnson-Shoyama Graduate School of Public Policy, 3737 Wascana Parkway, Department of Psychology, University of Regina, Regina, SK, Canada S4S 6J4. Electronic address: Greg.Marchildon@uregina.ca.
authors.forename: G
authors.initials: G
authors.lastname: Marchildon
authors.affiliation: Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, Canada S4S 6J4. Electronic address: Gordon.Asmundson@uregina.ca.
authors.forename: G J G
authors.initials: GJ
authors.lastname: Asmundson
authors.affiliation: School of Health Sciences and DVC-Research Portfolio, Federation University Australia, Victoria, Australia; Centre of Mental Health Research, The Australian National University, Canberra, Australia; The National eTherapy Centre, Swinburne University of Technology, Lydiard St S, Ballarat, VIC 3350, Australia. Electronic address: brittklein@iinet.net.au.
authors.forename: B
authors.initials: B
authors.lastname: Klein
authors.affiliation: Centre for Mental Health and Wellbeing Research, School of Psychology, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia. Electronic address: david.austin@deakin.edu.au.
authors.forename: D W
authors.initials: DW
authors.lastname: Austin
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000628:therapy*; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D057566:Self Report
keywords: Cognitive behavior therapy; Depression; Generalized anxiety; Internet-delivered; Panic; Therapist-assisted