000108371 001__ 108371
000108371 005__ 20221004075853.0
000108371 0247_ $$2doi$$a10.1016/j.invent.2021.100420
000108371 0248_ $$2sideral$$a124983
000108371 037__ $$aART-2021-124983
000108371 041__ $$aeng
000108371 100__ $$0(orcid)0000-0002-3749-3756$$aGonzález Robles, Alberto$$uUniversidad de Zaragoza
000108371 245__ $$aPredicting response to transdiagnostic iCBT for emotional disorders from patient and therapist involvement
000108371 260__ $$c2021
000108371 5060_ $$aAccess copy available to the general public$$fUnrestricted
000108371 5203_ $$aBackground
Transdiagnostic iCBT has been shown to be effective for the treatment of emotional disorders. Less is known about the optimal level of therapist and patient involvement in these interventions. Specific characteristics of Internet-delivered interventions include treatment adherence (e.g., amount of review of the materials) and guidance (e.g., amount of therapist support). Exploring the importance of these elements in treatment outcome may help to maximize the efficiency of Internet-delivered psychological interventions.
Aim
In this study, we aimed to analyze the relationship between patient and therapist involvement (i.e., platform usage and amount of therapist guidance) in a sample of patients with emotional disorders who received transdiagnostic iCBT in Spanish public specialized mental healthcare services.
Method
This is a secondary analysis of a randomized controlled trial. The sample included 63 patients who completed transdiagnostic iCBT for emotional disorders. Platform usage metrics included number of logins into the platform and number of times the participants reviewed the modules. Therapist guidance was measured as the number of support phone calls with a therapist and their total duration (minutes). Logistic regressions and ROC analyses were performed to explore the predictive value of platform usage and therapist guidance in symptom reduction. Clinical outcomes included depressive and anxiety symptoms assessed at baseline and post-intervention. The bivariate relationship between the platform usage and therapist guidance variables was also explored.
Results
Overall, platform usage and therapist guidance were not associated with symptom improvement. However, the patient and therapist involvement parameters were intercorrelated. Specifically, the number of calls and their duration were associated with a greater number of logins (r = 0.61; p < .001) and more frequent reviews of the modules (0.46 ≤ r ≤ 0.60; p < .001). Higher baseline depression and anxiety were, respectively, associated with greater improvements in depression (r = −0.37, p = .003) and anxiety after treatment completion (r = −0.48, p < .001).
Discussion
The results suggest that there is no reliable cut-off point for platform usage and therapist guidance in predicting optimal symptom reduction. However, significant associations were found between platform usage and guidance variables that warrant additional research. More research on this topic is necessary to further clarify the role of these and other platform usage and guidance variables in Internet-delivered iCBT outcomes.
000108371 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/CB06-03-0052$$9info:eu-repo/grantAgreement/ES/MEC/FPU13-00576
000108371 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000108371 590__ $$a5.358$$b2021
000108371 592__ $$a1.096$$b2021
000108371 594__ $$a5.7$$b2021
000108371 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b17 / 109 = 0.156$$c2021$$dQ1$$eT1
000108371 593__ $$aHealth Informatics$$c2021$$dQ1
000108371 591__ $$aPSYCHOLOGY, CLINICAL$$b26 / 131 = 0.198$$c2021$$dQ1$$eT1
000108371 591__ $$aPSYCHIATRY$$b50 / 157 = 0.318$$c2021$$dQ2$$eT1
000108371 591__ $$aMEDICAL INFORMATICS$$b9 / 31 = 0.29$$c2021$$dQ2$$eT1
000108371 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000108371 700__ $$aSuso Ribera, Carlos
000108371 700__ $$0(orcid)0000-0003-4398-4014$$aDíaz García, Amanda$$uUniversidad de Zaragoza
000108371 700__ $$aGarcía Palacios, Azucena
000108371 700__ $$aCastilla, Diana
000108371 700__ $$aBotella, Cristina
000108371 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000108371 773__ $$g25 (2021), 100420 [9 pp.]$$pInternet Interv.$$tINTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH$$x2214-7829
000108371 8564_ $$s621903$$uhttps://zaguan.unizar.es/record/108371/files/texto_completo.pdf$$yVersión publicada
000108371 8564_ $$s2226143$$uhttps://zaguan.unizar.es/record/108371/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000108371 909CO $$ooai:zaguan.unizar.es:108371$$particulos$$pdriver
000108371 951__ $$a2022-10-03-14:18:06
000108371 980__ $$aARTICLE