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Increasing the acce...
Increasing the accessibility to internet-based cognitive behavioural therapy for depression : A single-blind randomized controlled trial of condensed versus full-text versions
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- Karlsson Good, Magnus, 1988- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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- Kaldo, Viktor, Professor (författare)
- Karolinska Institutet,Linnéuniversitetet,Institutionen för psykologi (PSY),Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden; Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
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- Lundberg, Linnea (författare)
- Region Örebro County, Örebro, Sweden
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- Kraepelien, Martin (författare)
- Karolinska Institutet
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- Anthony, Susanne A. (författare)
- Department of Pediatrics, Skåne University Hospital, Region Skåne, Malmö, Sweden
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- Holländare, Fredrik, Docent, 1972- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Psychiatry,Örebro University, Sweden
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: Internet Interventions. - : Elsevier. - 2214-7829. ; 34
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background: Research shows that internet-based cognitive behavioural therapy (iCBT) is an effective treatment for depression. However, little is known about how the length of the text material in iCBT affects outcomes. Objective: The aim of this study was to test whether a condensed iCBT version for depression would be noninferior to the existing full-text version in reducing depressive symptoms at post-treatment. We also wanted to test non-inferiority for secondary outcomes and explore reading speed and ADHD symptoms as potential moderators. Method: A single-blind randomized controlled trial was conducted (N = 267) comparing two versions of guided iCBT for depression; full-text (around 60,000 words) and condensed (around 30,000 words, with the option to listen to the text). Estimated between-group effect sizes and their confidence intervals for depression, anxiety and quality of life, were compared to a pre-determined non-inferiority margin (ES = 0.4). Moderation analyses of reading speed and ADHD symptoms were conducted. Results: The condensed version of iCBT was non-inferior to the full-text version on post-treatment measures for depressive symptoms (95 % CI = - 0.42-0.24), anxiety symptoms (95 % CI = - 0.24-0.32), and quality of life (95 % CI = - 0.09-0.49). Non-inferiority was inconclusive for depressive symptoms at the one-year follow-up (95 % CI = - 0.60-0.47). There was no significant moderation effects of reading speed (p = 0.06) or ADHD symptoms (p = 0.11) on depressive symptoms. Conclusion: These results indicate that a condensed version of iCBT for depression is as effective at treating depression as the full-text version. By shortening texts, iCBT may be made available to more people. Due to unequal dropout rates between the groups, these results are preliminary and need to be replicated.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- Cognitive behavioural therapy
- Depressive disorder
- Reading speed
- Digital intervention
- Internet-based treatment
- Randomized controlled trial
- Psychology
- Psykologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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