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Addressing depression and behavioral health needs through a digital program at scale.

Zakariyah Sharif-Sidi1, Christine Shen1, William Wong1

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Healthcare (Amsterdam, Netherlands)
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Summary
This summary is machine-generated.

Digital tools like internet-based cognitive behavioral therapy (iCBT) can help manage depression and anxiety. In a health system, iCBT significantly reduced patient symptoms, showing its clinical effectiveness.

Keywords:
Consumer informaticsDepressionDigital healthElectronic health records

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Area of Science:

  • Digital Health
  • Mental Health Technology
  • Behavioral Health

Background:

  • Depression and anxiety disorders are common but often underdiagnosed and undertreated.
  • Access to specialized mental health care can be limited.
  • Digital tools offer a potential solution to bridge or provide therapy.

Purpose of the Study:

  • To evaluate the effectiveness of a digital mental health program, specifically internet-based cognitive behavioral therapy (iCBT), within an academic health system.
  • To assess patient engagement and clinical outcomes in primary care and behavioral health settings.

Main Methods:

  • A digital mental health program (iCBT) was implemented across primary care and outpatient behavioral health.
  • 138 clinicians prescribed the program to 2,228 patients over two years; 1,117 enrolled.
  • Patient outcomes were measured using pre- and post-treatment PHQ-9 (depression) and GAD-7 (anxiety) scores.

Main Results:

  • Enrolled patients spent an average of 114.6 minutes in the iCBT program.
  • Patients with moderate depression showed a 23% average reduction in PHQ-9 scores (p<0.001).
  • Patients with moderate anxiety showed a 26% average reduction in GAD-7 scores (p<0.001).

Conclusions:

  • The implemented iCBT program led to clinically and statistically significant improvements in depression and anxiety symptoms.
  • Digital mental health tools show promise for augmenting traditional care models.
  • Further research will explore the cost-effectiveness of iCBT for health systems.