Fifty-five people with panic disorder (PD) were randomised to internet-based cognitive behavioural panic treatment (CBT) (with email contact), therapist-assisted CBT manual or information-only control (both with telephone contact). Both CBT treatments were more effective in reducing PD symptomatology, panic-related cognition, negative affect, and number of GP visits and improving physical health ratings. Internet treatment was more effective than CBT manual in reducing clinician-rated agoraphobia and number of GP visits at post-assessment. At follow-up, these effects were maintained for both CBT groups, with internet CBT better at improving physical health ratings and reducing GP visits. This study provides support for the efficacy of internet-based CBT.
"Measures used were administered online and all were validated, except for the programme and forum satisfaction questionnaires, which were based on previously used programme satisfaction measures (Klein et al., 2006, 2011). Demographic details obtained included age, date of birth, marital status, employment status, gross annual income, ethnicity, languages spoken, postcode, prostate cancer date of diagnosis, date of treatment, and type of treatment. "
[Show abstract][Hide abstract] ABSTRACT: Men with prostate cancer are not routinely offered psychosocial support despite strong evidence that being diagnosed with prostate cancer poses significant quality of life concerns and places the patient at elevated risk of developing a range of mental health disorders. The objective of this study was to develop an online psychological intervention for men with prostate cancer and to pilot test the feasibility and acceptability of the intervention. Development of the intervention involved a multidisciplinary collaboration, adapting face-to-face and group intervention strategies for an online format. The full online intervention and moderated forum were pilot tested with 64 participants who were recruited from urology practices in Melbourne, Victoria, Australia. After consenting to participate and creating a personal account in the online programme, participants completed baseline demographic questionnaires. Participants were provided access to the programme for 6-12 weeks. After completing the programme participants completed an online survey to assess intervention and forum utilisation and satisfaction, as well as suggest intervention refinements following their use of the intervention. Patient satisfaction was calculated using mean responses to the satisfaction questionnaire. The intervention was received positively with 47.82% of participants highly satisfied with the programme, and 78.26% said they would recommend it to a friend. Participants' qualitative feedback indicated good acceptability of the online intervention. A number of technical and participant engagement issues were identified and changes recommended as a result of the feasibility testing.
Internet Interventions 10/2014; 1(4). DOI:10.1016/j.invent.2014.10.001
"As therapist support is not required, online programs can provide services to larger numbers of people without concomitant increases in cost, provided that servers can cope with increased capacities. An evaluation of Australian-based online treatment program for panic disorder found that the cost of hosting treatment and questionnaire website was approximately AUD$12.12 per participant (N=33) (Klein et al., 2006). In a comparative analysis, a Dutch online problem-drinking program and information brochure produced greater clinical outcomes after 12-months than a non-online information resource (Smit et al., 2006). "
[Show abstract][Hide abstract] ABSTRACT: A minority of problem gamblers access formal treatment. Factors contributing to this low service utilization rate include geographical and time constraints, a desire to self-manage problems, shame, denial and concerns over privacy/confidentiality. The Internet is an effective medium for the delivery of health-related information, self-assessment, counselling, peer-based support and other therapeutic interventions. Consequently, online self-help programs should be offered as an alternative means to access treatment for gamblers reluctant to pursue traditional options. Benefits of the Internet include its capacity to provide a systematic delivery of cognitive-behavioural therapies, practical visual demonstrations of probabilities correcting erroneous beliefs, accessibility, convenience, cost-effectiveness, anonymity and privacy. We conducted a review of the literature to outline the advantages and current status of self-guided online interventions for gambling-related problem. Although this is a new field, empirical evidence indicates that online self-guided interventions are efficacious and represent an important treatment adjunct for individuals with gambling-related problems.
International Gambling Studies 12/2012; 11(3):289-308. DOI:10.1080/14459795.2011.617764 · 1.29 Impact Factor
"In recent years the internet has become an important resource for people to seek health information (Horrigan and Smith, 2007). It has been adopted as a valuable tool for offering basic information and delivering more elaborate interventions for various health problems, including smoking cessation, eating disorders, panic disorders, Posttraumatic Stress Disorder (PTSD) and depression (Ritterband et al., 2003; Klein et al., 2006; Knaevelsrud and Maercker, 2007). Such intervention can be in the form of complete self-help programmes with minimal input from a clinician (Watkins and Clum, 2008). "
[Show abstract][Hide abstract] ABSTRACT: This study examines internet-based interventions as a solution to improve mental health services for traumatised individuals in People's Republic of China (PR China). By reviewing the literature, the authors first summarise primary barriers to Chinese people's mental health help-seeking. Next, based on a research model, the authors discuss how the internet has been used to overcome these barriers and then introduce the current state of internet-based interventions. Finally, the authors conclude the necessity and feasibility of internet-based intervention applications in PR China, give implications for mental health services and discuss some limitations.
International Journal of Electronic Healthcare 08/2012; 7(1):19-35. DOI:10.1504/IJEH.2012.048667
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