Depression Mental and Behavioural Disorders
Conditions
Interventions
All participants will be randomised to receive at least one module of the internet cognitive behavioural therapy (CBT) intervention. Within this fractional factorial design, there is not a no-treatmen
video examples of individuals with depression using the treatment
questionnaires, rating scales, and online exercises and behavioural experiments including audio-recordings, which can be downloaded to be practiced in daily life. A number of questionnaires and exerci
Sponsors
University of Exeter (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 or older 2. Access to internet and an email account that will be maintained and regularly checked for at least 3 months (changed from 20 weeks on 22/09/2016) 3. Competent at reading and writing in English 4. Receiving treatment within BEME Cornwall IAPT service. Those living elsewhere in England can take part as long as they are registered with a UK GP (sentence added 27/09/2016) 5. Meeting caseness for depression, as indexed by a score of 10 or more on the Patient Health Questionnaire-9 (PHQ-9) (Kroenke, Spitzer & Williams, 2001) 6. Completion of the introductory module of the therapy 7. Signed consent to participate
Exclusion criteria
Exclusion criteria: 1. Identification of comorbid severe or enduring mental health problems other than depression such as current alcohol or drug abuse problems, psychosis or bipolar disorder, either during routine screening by the NHS IAPT service, by online mood screener, or via research structured diagnostic interview at initial assessment. 2. Persistent self-injury requiring clinical management/therapy 3. Unable to engage with internet treatment for physical, practical or other reasons (e.g., very disabling physical or mental health problem, unable to comprehend materials, poor reading) 4. Formal concurrent face-to-face psychotherapy/counselling including computer-based CBT; IAPT treatments 5. Elevated levels of suicide risk as indicated by reporting suicidal ideation and intentions/plans for suicide
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| As of 27/09/2016: Patient Health Questionnaire (PHQ-9) which will be rated at baseline, 3 months from randomisation and 6 months post- treatment Initial Patient Health Questionnaire (PHQ-9) which will be rated at baseline, 20 weeks from randomisation and 6 months post- treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| As of 27/09/2016: Generalized anxiety disorder-7 (GAD7) questionnaire will be rated at baseline, 3 months from randomisation and 6 months post-treatment Initial Generalized anxiety disorder-7 (GAD7) questionnaire will be rated at baseline, 20 weeks from randomisation and 6 months post-treatment | — |
Countries
England, United Kingdom
Outcome results
None listed