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Self-administered psychotherapy for depression using a telephone-accessed computer system plus booklets: an open
D J Osgood-Hynes1, J H Greist, I M Marks
1Massachusetts General Hospital and Harvard Medical School, Boston, USA. os-hynes@psych.mgh.harvard.edu
The Journal of Clinical Psychiatry
|August 26, 1998
Summary
This study shows a self-help program combining booklets and an Interactive Voice Response (IVR) system effectively treats mild-to-moderate depression. The program improved patient outcomes and is a promising option for those lacking in-person therapy access.
Area of Science:
- Mental Health
- Digital Therapeutics
- Psychiatry
Background:
- Mild-to-moderate depression affects a significant population.
- Access to ongoing, in-person therapy can be limited for many individuals.
- Self-help interventions offer a potential solution to bridge treatment gaps.
Purpose of the Study:
- To assess the efficacy and acceptability of a novel self-help program for mild-to-moderate depression.
- The program integrated treatment booklets with a computer-aided Interactive Voice Response (IVR) system.
- To determine if this blended approach could improve depression symptoms and patient outcomes.
Main Methods:
- An open trial involving 41 patients across the US and UK.
- Participants utilized the 12-week COPE self-help system, including booklets and telephone calls to an IVR.
- The IVR system provided tailored self-help recommendations based on patient input.
Main Results:
- All participants completed self-assessments; 68% finished the 12-week program.
- Significant improvements were observed in Hamilton Rating Scale for Depression (HAM-D) and Work and Social Adjustment scores (41% and 42% reduction).
- 64% of completers were responders (≥50% HAM-D reduction), with higher completion and response rates in US sites.
Conclusions:
- A self-help system combining a computer-aided telephone system and booklets proved successful for mild-to-moderate depression.
- The preliminary findings are encouraging for individuals facing barriers to traditional therapy.
- This digital-behavioral intervention demonstrates potential for accessible mental health support.