MindSpot Clinic: An Accessible, Efficient, and Effective Online Treatment Service for Anxiety and Depression.
2015 (English)In: Psychiatric Services, ISSN 1075-2730, E-ISSN 1557-9700, Vol. 66, no 10, 1043-1050 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
American Psychiatric Publishing, 2015. Vol. 66, no 10, 1043-1050 p.
IdentifiersURN: urn:nbn:se:liu:diva-123230DOI: 10.1176/appi.ps.201400477ISI: 000370727100012PubMedID: 26130001OAI: oai:DiVA.org:liu-123230DiVA: diva2:878322
Funding agencies: Australian Government Department of Health; National Health and Medical Research Council (NHMRC) Australian Public Health Fellowship; Faculty of Human Sciences, Macquarie University; Australian Government2015-12-082015-12-082016-03-21