Facilitating access to iCBT: a randomized controlled trial assessing a translated version of an empirically validated program using a minimally monitored delivery model.
Identifieur interne : 000204 ( Main/Exploration ); précédent : 000203; suivant : 000205Facilitating access to iCBT: a randomized controlled trial assessing a translated version of an empirically validated program using a minimally monitored delivery model.
Auteurs : Miguel Robichaud [Canada] ; France Talbot [Canada] ; Nickolai Titov [Australie] ; Blake F. Dear [Australie] ; Heather D. Hadjistavropoulos [Canada] ; Thomas Hadjistavropoulos [Canada] ; Jalila Jbilou [Canada]Source :
- Behavioural and cognitive psychotherapy [ 1469-1833 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Anxiété (thérapie), Canada (MeSH), Dépression (thérapie), Enquêtes et questionnaires (MeSH), Femelle (MeSH), France (MeSH), Humains (MeSH), Internet (MeSH), Jeune adulte (MeSH), Langage (MeSH), Listes d'attente (MeSH), Mâle (MeSH), Prestations des soins de santé (MeSH), Reproductibilité des résultats (MeSH), Résultat thérapeutique (MeSH), Thérapie cognitive (méthodes), Traductions (MeSH), Trouble dépressif (thérapie), Troubles anxieux (thérapie).
- MESH :
- méthodes : Thérapie cognitive.
- thérapie : Anxiété, Dépression, Trouble dépressif, Troubles anxieux.
- Adulte, Adulte d'âge moyen, Canada, Enquêtes et questionnaires, Femelle, France, Humains, Internet, Jeune adulte, Langage, Listes d'attente, Mâle, Prestations des soins de santé, Reproductibilité des résultats, Résultat thérapeutique, Traductions.
- Wicri :
English descriptors
- KwdEn :
- Adult (MeSH), Anxiety (therapy), Anxiety Disorders (therapy), Canada (MeSH), Cognitive Behavioral Therapy (methods), Delivery of Health Care (MeSH), Depression (therapy), Depressive Disorder (therapy), Female (MeSH), France (MeSH), Humans (MeSH), Internet (MeSH), Language (MeSH), Male (MeSH), Middle Aged (MeSH), Reproducibility of Results (MeSH), Surveys and Questionnaires (MeSH), Translations (MeSH), Treatment Outcome (MeSH), Waiting Lists (MeSH), Young Adult (MeSH).
- MESH :
- geographic : Canada, France.
- methods : Cognitive Behavioral Therapy.
- therapy : Anxiety, Anxiety Disorders, Depression, Depressive Disorder.
- Adult, Delivery of Health Care, Female, Humans, Internet, Language, Male, Middle Aged, Reproducibility of Results, Surveys and Questionnaires, Translations, Treatment Outcome, Waiting Lists, Young Adult.
Abstract
BACKGROUND
Despite its established efficacy, access to internet-delivered CBT (iCBT) remains limited in a number of countries. Translating existing programs and using a minimally monitored model of delivery may facilitate its dissemination across countries.
AIMS
This randomized control trial aims to evaluate the efficacy of an iCBT transdiagnostic program translated from English to French and offered in Canada using a minimally monitored delivery model for the treatment of anxiety and depression.
METHOD
Sixty-three French speakers recruited in Canada were randomized to iCBT or a waiting-list. A French translation of an established program, the Wellbeing Course, was offered over 8 weeks using a minimally monitored delivery model. Primary outcome measures were the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), which were obtained pre-treatment, post-treatment and at 3-month follow-up.
RESULTS
Mixed-effects models revealed that participants in the treatment group had significantly lower PHQ-9 and GAD-7 scores post-treatment than controls with small between-groups effect sizes (d = 0.34 and 0.37, respectively). Within-group effect sizes on primary outcome measures were larger in the treatment than control group. Clinical recovery rates on the PHQ-9 and GAD-7 were significantly higher among the treatment group (40 and 56%, respectively) than the controls (13 and 16%, respectively).
CONCLUSIONS
The provision of a translated iCBT program using a minimally monitored delivery model may improve patients' access to treatment of anxiety and depression across countries. This may be an optimal first step in improving access to iCBT before sufficient resources can be secured to implement a wider range of iCBT services.
DOI: 10.1017/S135246581900047X
PubMed: 31416489
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Hadjistavropoulos</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, University of Regina, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychology, University of Regina</wicri:regionArea><placeName><settlement type="city">Regina</settlement><region type="state">Saskatchewan</region></placeName><orgName type="university">Université de Regina</orgName></affiliation></author><author><name sortKey="Hadjistavropoulos, Thomas" sort="Hadjistavropoulos, Thomas" uniqKey="Hadjistavropoulos T" first="Thomas" last="Hadjistavropoulos">Thomas Hadjistavropoulos</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, University of Regina, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychology, University of Regina</wicri:regionArea><placeName><settlement type="city">Regina</settlement><region type="state">Saskatchewan</region></placeName><orgName 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type="eISSN">1469-1833</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Anxiety (therapy)</term><term>Anxiety Disorders (therapy)</term><term>Canada (MeSH)</term><term>Cognitive Behavioral Therapy (methods)</term><term>Delivery of Health Care (MeSH)</term><term>Depression (therapy)</term><term>Depressive Disorder (therapy)</term><term>Female (MeSH)</term><term>France (MeSH)</term><term>Humans (MeSH)</term><term>Internet (MeSH)</term><term>Language (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Reproducibility of Results (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Translations (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Waiting Lists (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anxiété (thérapie)</term><term>Canada (MeSH)</term><term>Dépression (thérapie)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Internet (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Langage (MeSH)</term><term>Listes d'attente (MeSH)</term><term>Mâle (MeSH)</term><term>Prestations des soins de santé (MeSH)</term><term>Reproductibilité des résultats (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Thérapie cognitive (méthodes)</term><term>Traductions (MeSH)</term><term>Trouble dépressif (thérapie)</term><term>Troubles anxieux (thérapie)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term><term>France</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cognitive Behavioral Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Thérapie cognitive</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety</term><term>Anxiety Disorders</term><term>Depression</term><term>Depressive Disorder</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Anxiété</term><term>Dépression</term><term>Trouble dépressif</term><term>Troubles anxieux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Delivery of Health Care</term><term>Female</term><term>Humans</term><term>Internet</term><term>Language</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Surveys and Questionnaires</term><term>Translations</term><term>Treatment Outcome</term><term>Waiting Lists</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canada</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>France</term><term>Humains</term><term>Internet</term><term>Jeune adulte</term><term>Langage</term><term>Listes d'attente</term><term>Mâle</term><term>Prestations des soins de santé</term><term>Reproductibilité des résultats</term><term>Résultat thérapeutique</term><term>Traductions</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Despite its established efficacy, access to internet-delivered CBT (iCBT) remains limited in a number of countries. Translating existing programs and using a minimally monitored model of delivery may facilitate its dissemination across countries.</p></div><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>This randomized control trial aims to evaluate the efficacy of an iCBT transdiagnostic program translated from English to French and offered in Canada using a minimally monitored delivery model for the treatment of anxiety and depression.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Sixty-three French speakers recruited in Canada were randomized to iCBT or a waiting-list. A French translation of an established program, the Wellbeing Course, was offered over 8 weeks using a minimally monitored delivery model. Primary outcome measures were the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), which were obtained pre-treatment, post-treatment and at 3-month follow-up.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Mixed-effects models revealed that participants in the treatment group had significantly lower PHQ-9 and GAD-7 scores post-treatment than controls with small between-groups effect sizes (d = 0.34 and 0.37, respectively). Within-group effect sizes on primary outcome measures were larger in the treatment than control group. Clinical recovery rates on the PHQ-9 and GAD-7 were significantly higher among the treatment group (40 and 56%, respectively) than the controls (13 and 16%, respectively).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The provision of a translated iCBT program using a minimally monitored delivery model may improve patients' access to treatment of anxiety and depression across countries. This may be an optimal first step in improving access to iCBT before sufficient resources can be secured to implement a wider range of iCBT services.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31416489</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>04</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1469-1833</ISSN><JournalIssue CitedMedium="Internet"><Volume>48</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Behavioural and cognitive psychotherapy</Title><ISOAbbreviation>Behav Cogn Psychother</ISOAbbreviation></Journal><ArticleTitle>Facilitating access to iCBT: a randomized controlled trial assessing a translated version of an empirically validated program using a minimally monitored delivery model.</ArticleTitle><Pagination><MedlinePgn>185-202</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/S135246581900047X</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="UNASSIGNED">Despite its established efficacy, access to internet-delivered CBT (iCBT) remains limited in a number of countries. Translating existing programs and using a minimally monitored model of delivery may facilitate its dissemination across countries.</AbstractText><AbstractText Label="AIMS" NlmCategory="UNASSIGNED">This randomized control trial aims to evaluate the efficacy of an iCBT transdiagnostic program translated from English to French and offered in Canada using a minimally monitored delivery model for the treatment of anxiety and depression.</AbstractText><AbstractText Label="METHOD" NlmCategory="UNASSIGNED">Sixty-three French speakers recruited in Canada were randomized to iCBT or a waiting-list. A French translation of an established program, the Wellbeing Course, was offered over 8 weeks using a minimally monitored delivery model. Primary outcome measures were the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), which were obtained pre-treatment, post-treatment and at 3-month follow-up.</AbstractText><AbstractText Label="RESULTS" NlmCategory="UNASSIGNED">Mixed-effects models revealed that participants in the treatment group had significantly lower PHQ-9 and GAD-7 scores post-treatment than controls with small between-groups effect sizes (d = 0.34 and 0.37, respectively). Within-group effect sizes on primary outcome measures were larger in the treatment than control group. Clinical recovery rates on the PHQ-9 and GAD-7 were significantly higher among the treatment group (40 and 56%, respectively) than the controls (13 and 16%, respectively).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="UNASSIGNED">The provision of a translated iCBT program using a minimally monitored delivery model may improve patients' access to treatment of anxiety and depression across countries. This may be an optimal first step in improving access to iCBT before sufficient resources can be secured to implement a wider range of iCBT services.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Robichaud</LastName><ForeName>Miguel</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1078-879X</Identifier><AffiliationInfo><Affiliation>École de Psychologie, Université de Moncton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Talbot</LastName><ForeName>France</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>École de Psychologie, Université de Moncton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Titov</LastName><ForeName>Nickolai</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>eCentreClinic, Department of Psychology, Macquarie University, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dear</LastName><ForeName>Blake F</ForeName><Initials>BF</Initials><AffiliationInfo><Affiliation>eCentreClinic, Department of Psychology, Macquarie University, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hadjistavropoulos</LastName><ForeName>Heather D</ForeName><Initials>HD</Initials><AffiliationInfo><Affiliation>Department of Psychology, University of Regina, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hadjistavropoulos</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Psychology, University of Regina, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jbilou</LastName><ForeName>Jalila</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>École de Psychologie, Université de Moncton, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre de formation médicale du Nouveau-Brunswick, Université de Moncton, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>08</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Behav Cogn Psychother</MedlineTA><NlmUniqueID>9418292</NlmUniqueID><ISSNLinking>1352-4658</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001008" MajorTopicYN="N">Anxiety Disorders</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="N">Cognitive Behavioral Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="Y">Delivery of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003866" MajorTopicYN="N">Depressive Disorder</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020407" MajorTopicYN="Y">Internet</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007802" MajorTopicYN="N">Language</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014177" MajorTopicYN="Y">Translations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014850" MajorTopicYN="N">Waiting Lists</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">access</Keyword><Keyword MajorTopicYN="N">anxiety</Keyword><Keyword MajorTopicYN="N">depression</Keyword><Keyword MajorTopicYN="N">internet-delivered cognitive behavioural therapy (iCBT)</Keyword><Keyword MajorTopicYN="N">self-guided</Keyword><Keyword MajorTopicYN="N">transdiagnostic</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>8</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>8</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31416489</ArticleId><ArticleId IdType="pii">S135246581900047X</ArticleId><ArticleId IdType="doi">10.1017/S135246581900047X</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Canada</li></country><region><li>Saskatchewan</li></region><settlement><li>Regina</li></settlement><orgName><li>Université de Regina</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Robichaud, Miguel" sort="Robichaud, Miguel" uniqKey="Robichaud M" first="Miguel" last="Robichaud">Miguel Robichaud</name></noRegion><name sortKey="Hadjistavropoulos, Heather D" sort="Hadjistavropoulos, Heather D" uniqKey="Hadjistavropoulos H" first="Heather D" last="Hadjistavropoulos">Heather D. Hadjistavropoulos</name><name sortKey="Hadjistavropoulos, Thomas" sort="Hadjistavropoulos, Thomas" uniqKey="Hadjistavropoulos T" first="Thomas" last="Hadjistavropoulos">Thomas Hadjistavropoulos</name><name sortKey="Jbilou, Jalila" sort="Jbilou, Jalila" uniqKey="Jbilou J" first="Jalila" last="Jbilou">Jalila Jbilou</name><name sortKey="Jbilou, Jalila" sort="Jbilou, Jalila" uniqKey="Jbilou J" first="Jalila" last="Jbilou">Jalila Jbilou</name><name sortKey="Talbot, France" sort="Talbot, France" uniqKey="Talbot F" first="France" last="Talbot">France Talbot</name></country><country name="Australie"><noRegion><name sortKey="Titov, Nickolai" sort="Titov, Nickolai" uniqKey="Titov N" first="Nickolai" last="Titov">Nickolai Titov</name></noRegion><name sortKey="Dear, Blake F" sort="Dear, Blake F" uniqKey="Dear B" first="Blake F" last="Dear">Blake F. Dear</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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