A randomized noninferiority trial evaluating remotely-delivered stepped care for depression using internet cognitive behavioral therapy (CBT) and telephone CBT.

ABSTRACT: This trial examined whether a stepped care program for depression, which initiated treatment with internet cognitive behavioral therapy, including telephone and messaging support, and stepped up non-responders to telephone-administered cognitive behavioral therapy (tCBT), was noninferior, less costly to deliver, and as acceptable to patients compared to tCBT alone. Adults with a diagnosis of major depressive episode (MDE) were randomized to receive up to 20 weeks of stepped care or tCBT. Stepped care (n?=?134) was noninferior to tCBT (n?=?136) with an end-of-treatment effect size of d?=?0.03 and a 6-month post-treatment effect size of d?=?-0.07 [90% CI 0.29 to 0.14]. Therapist time in stepped care was 5.26 (SD?=?3.08) hours versus 10.16 (SD 4.01) for tCBT (p?

SUBMITTER: Mohr DC 

PROVIDER: S-EPMC6916718 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature