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Free choice of trea...
Free choice of treatment content, support on demand and supervision in internet-delivered CBT for adults with depression : A randomized factorial design trial
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- Andersson, Gerhard (author)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutionen för biomedicinska och kliniska vetenskaper,Medicinska fakulteten,Karolinska Inst, Sweden
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- Käll, Anton, 1992- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutionen för biomedicinska och kliniska vetenskaper,Medicinska fakulteten
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- Juhlin, Simon (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Wahlstrom, Carl (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Licht, Edvard de Fine (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Färdeman, Simon (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Franck, Anna (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Tholcke, Anna (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Nachtweij, Karin (author)
- Linnéuniversitetet,Institutionen för psykologi (PSY),Linnaeus Univ, Sweden
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- Fransson, Emma (author)
- Linnéuniversitetet,Institutionen för psykologi (PSY),Linnaeus Univ, Sweden
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- Vernmark, Kristofer (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Ludvigsson, Mikael (author)
- Linköpings universitet,Centrum för social och affektiv neurovetenskap,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken i Linköping,Region Östergötland, Medicinska och geriatriska akutkliniken
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- Berg, Matilda (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- English.
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In: Behaviour Research and Therapy. - : Elsevier. - 0005-7967 .- 1873-622X. ; 162
- Related links:
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https://doi.org/10.1...
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Even if much is known regarding the effects of internet-delivered cognitive behaviour therapy (ICBT) for depression there are several topics that have not been studied. In this factorial design trial with 197 participants we investigated if clients in ICBT could select treatment modules themselves based on a selection of 15 tailored treatment modules developed for use in ICBT for depression. We contrasted this against clinician-tailored module selection. We also investigated if support on demand (initiated by the client) could work as well as scheduled support. Finally, we tested if clients that were mentioned in supervision would improve more than clients not mentioned (with the exception of acute cases). The treatment period lasted for 10 weeks, and we measured effects at post-treatment and two-year follow-up. Measures of depression and secondary outcomes were collected at pre-treatment, post-treatment and two-year follow-up. Overall, within-group effects were large across con-ditions (e.g., d = 1.73 on the BDI-II). We also found a small but significant difference in favour of self-tailored treatment over clinician-tailored (d = 0.26). Within-group effects for the secondary measures were all moderate to large including a test of knowledge about CBT. The other two contrasts "support on demand" and "supervision" yielded mostly non-significant differences, with the exception of a larger dropout rate in the support on demand condition. There were few negative effects (2.2%). Effects were largely maintained at a two-year follow-up. We conclude that clients can choose treatment modules and that support on demand may work. The role of su-pervision is not yet clear as advice can be transferred across clients.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Factorial design trial
- Self -tailored treatment content
- ICBT
- Internet
- Support on demand
- Supervision
- Depression
- Psychology
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
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Andersson, Gerha ...
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Käll, Anton, 199 ...
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Juhlin, Simon
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Wahlstrom, Carl
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Licht, Edvard de ...
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Färdeman, Simon
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show more...
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Franck, Anna
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Tholcke, Anna
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Nachtweij, Karin
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Fransson, Emma
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Vernmark, Kristo ...
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Ludvigsson, Mika ...
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Berg, Matilda
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show less...
- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
- Articles in the publication
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Behaviour Resear ...
- By the university
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Linnaeus University
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Linköping University
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Karolinska Institutet