Dissemination of computer-assisted cognitive-behavior therapy for depression in primary care

Area of Science:

• Mental Health
• Primary Care Research
• Digital Therapeutics

Background:

• Primary care settings face challenges in delivering evidence-based depression treatment.
• Computer-assisted cognitive-behavior therapy (CCBT) has shown effectiveness in psychiatric settings.
• Disadvantaged populations are often underrepresented in CCBT research.

Purpose of the Study:

• To evaluate the effectiveness and feasibility of CCBT for depression in a primary care setting.
• To assess CCBT's suitability for a high percentage of disadvantaged patients.
• To establish a cost-effective and sustainable model for CCBT dissemination in primary care.

Main Methods:

• A randomized trial involving 240 patients comparing CCBT to treatment as usual (TAU).
• Patients receive an empirically supported computer program for CBT skills, with support from a care coordinator via phone/email.
• Outcomes measured include CCBT completion, CBT concept comprehension, patient satisfaction, depressive symptoms, negative thoughts, and quality of life.

Main Results:

• This section is not available in the provided abstract.
• This section is not available in the provided abstract.
• This section is not available in the provided abstract.

Conclusions:

• CCBT offers a promising, accessible, and cost-effective approach to treating depression in primary care.
• The study's findings can inform the wider implementation of CCBT, particularly for underserved communities.
• Further research on predictors of outcome will aid clinicians and organizations in planning CCBT dissemination.