title: Treating anxiety and depression in older adults: randomised controlled trial comparing guidedv. self-guided internet-delivered cognitive-behavioural therapy.
abstract: BACKGROUND
  Symptoms of anxiety and depression are prevalent in older adults.
  
  
  OBJECTIVE
  To compare clinician-guided and self-guided versions of a transdiagnostic internet-delivered cognitive-behavioural therapy (iCBT) intervention for adults aged 60 years and above.
  
  
  METHODS
  Adults (n=433) with symptoms of anxiety and depression were randomly allocated to: (1) clinician-guided treatment (n=153); (2) initial clinician interview followed by self-guided treatment (n=140); or (3) self-guided treatment without interview (n=140).
  
  
  RESULTS
  Large reductions (d≥1.00) in symptoms of depression and anxiety were observed across groups, and sustained at follow-up. No differences were observed in clinical outcomes or satisfaction ratings. Age did not affect outcomes.
  
  
  CONCLUSIONS
  Carefully developed iCBT interventions may significantly reduce symptoms of anxiety and depression in older adults when delivered in either clinician-guided or self-guided formats.
  
  
  BACKGROUND
  N.T. and B.F.D. developed the Wellbeing Plus Course but derive no financial benefit from it.
  © 2016 The Royal College of Psychiatrists. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
authors.affiliation: , PhD.
authors.forename: Nickolai
authors.initials: N
authors.lastname: Titov
authors.affiliation: , PhD.
authors.forename: Vincent J
authors.initials: VJ
authors.lastname: Fogliati
authors.affiliation: , PhD.
authors.forename: Lauren G
authors.initials: LG
authors.lastname: Staples
authors.affiliation: , PhD.
authors.forename: Milena
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authors.lastname: Gandy
authors.affiliation: , PhD, eCentreClinic, Department of Psychology, Macquarie University, Sydney, Australia.
authors.forename: Luke
authors.initials: L
authors.lastname: Johnston
authors.affiliation: , PhD, School of Medicine (Psychology), University of Tasmania, Tasmania, Australia.
authors.forename: Bethany
authors.initials: B
authors.lastname: Wootton
authors.affiliation: , PhD.
authors.forename: Olav
authors.initials: O
authors.lastname: Nielssen
authors.affiliation: , PhD, eCentreClinic, Department of Psychology, Macquarie University, Sydney, Australia.
authors.forename: Blake F
authors.initials: BF
authors.lastname: Dear