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MindSpot Clinic :
MindSpot Clinic : An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression.
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- Titov, Nickolai (author)
- Macquarie University, Sydney, Australia
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- Dear, Blake F (author)
- Macquarie University, Sydney, Australia
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- Staples, Lauren G (author)
- Macquarie University, Sydney, Australia
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- Bennett-Levy, James (author)
- University of Sydney, Sydney, Australia
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- Klein, Britt (author)
- Federation University, Victoria, Australia
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- Rapee, Ronald M (author)
- Macquarie University, Sydney, Australia
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- Shann, Clare (author)
- the Movember Foundation, Melbourne, Australia
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- Richards, David (author)
- University of Exeter, Exeter, United Kingdom
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- Andersson, Gerhard, 1966- (author)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Ritterband, Lee (author)
- University of Virginia, Charlottesville
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- Purtell, Carol (author)
- University of Sydney, Sydney, Australia
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- Bezuidenhout, Greg (author)
- University of Sydney, Sydney, Australia
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- Johnston, Luke (author)
- Macquarie University, Sydney, Australia
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- Nielssen, Olav B (author)
- University of Sydney, Sydney, Australia
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(creator_code:org_t)
- American Psychiatric Association Publishing, 2015
- 2015
- English.
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In: Psychiatric Services. - : American Psychiatric Association Publishing. - 1075-2730 .- 1557-9700. ; 66:10, s. 1043-1050
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
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- OBJECTIVE: The main objective of this study was to report the feasibility of delivering online cognitive-behavioral therapy (iCBT) treatments for anxiety and depression in a national public mental health service.METHODS: A prospective noncontrolled cohort study was conducted of all patients who began assessment or treatment at the MindSpot Clinic from January through December 2013. Clinic services were used by a representative cross-section of the Australian population. Mean age at assessment was 36.4±13.0 years, and age range was 18-86 years. Patients completed one of four online courses over eight weeks, during which they received weekly support from a therapist via telephone or secure e-mail. Primary outcome measures were the nine-item Patient Health Questionnaire (PHQ-9) and the seven-item Generalized Anxiety Disorder scale (GAD-7) administered at posttreatment and three months posttreatment.RESULTS: A total of 10,293 adults who self-identified as having problems with anxiety or depression commenced assessment, and 7,172 completed the assessment and were eligible for analysis. Of these, 2,049 enrolled in a course and 1,471 completed the course, for a course completion rate of 71.8%. Moderate to large noncontrolled effect sizes (Cohen's d=.67-1.66, 95% confidence interval=.08-2.07) were found from assessment to three-month follow-up. At posttreatment and follow-up, reliable recovery ranged from 46.7% to 51.1%, and deterioration ranged from 1.9% to 3.8%. Mean total therapist time per patient was 111.8±61.6 minutes.CONCLUSIONS: The MindSpot Clinic produced treatment outcomes that were comparable to results from published clinical trials of iCBT. This model of service delivery represents an innovative method of providing accessible, low-cost, effective, and acceptable mental health services to many people who currently are not receiving care.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
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- ref (subject category)
- art (subject category)
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- By the author/editor
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Titov, Nickolai
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Dear, Blake F
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Staples, Lauren ...
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Bennett-Levy, Ja ...
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Klein, Britt
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Rapee, Ronald M
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show more...
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Shann, Clare
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Richards, David
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Andersson, Gerha ...
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Ritterband, Lee
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Purtell, Carol
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Bezuidenhout, Gr ...
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Johnston, Luke
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Nielssen, Olav B
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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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and Applied Psycholo ...
- Articles in the publication
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Psychiatric Serv ...
- By the university
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Linköping University
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Karolinska Institutet