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Empirically Grounded Clinical Interventions Clients' and Referrers' Perceptions of Computer-Guided CBT (FearFighter)

Published online by Cambridge University Press:  26 November 2008

Alastair D. MacGregor
Affiliation:
New Craigs Hospital, Inverness, UK
Linda Hayward
Affiliation:
New Craigs Hospital, Inverness, UK
David F. Peck*
Affiliation:
Edinburgh University, UK
Peter Wilkes
Affiliation:
The Surgery, Drumnadrochit, Inverness-shire, UK
*
Reprint requests to David Peck, Department of Clinical Psychology, Edinburgh University, Teviot Place, Edinburgh EH8 9AG, UK. E-mail: dfpeck@btinternet.com

Abstract

Background: Computer-guided CBT has been shown to be a potentially useful way of closing the gap between the demand and supply for CBT. Moreover, this approach has additional benefits in terms of less travel times for treatment, accessibility in remote and unusual locations, increased confidentiality, easier disclosure of sensitive information, and more egalitarian therapist-client interactions. Research on computerized CBT has concentrated on clinical outcomes, but the views of clients on this treatment approach have been relatively neglected. Aims: The aims were to assess client satisfaction, professionals' views, and ease of programme use after completion of treatment via an internet-based CBT programme for panic and phobic anxiety (FearFighter). Method: A feasibility and effectiveness study of FearFighter was conducted in remote and rural areas of Scotland. Treatment data are available for 35 clients at post-treatment, of whom 29 completed an 18-item set of rating scales designed to assess satisfaction, including ease of use, accessibility, how far needs were met, whether changes to the programme were required, the benefits and drawbacks of not having a therapist, and quality of support. Open-ended questions were included. Referring agencies were also asked to rate their views on FearFighter. Results: Clients reported moderate to high levels of improvement and of overall satisfaction; very few difficulties in logging on to and using the programme were encountered. Similar levels of satisfaction with the programme were reported by referrers. Conclusions: It is concluded that computer-guided CBT is acceptable to clients and to professionals, and that it could play a valuable part in a “stepped care” system of delivering CBT.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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References

Attkinson, C. and Zwick, R. (2003). The client satisfaction questionnaire: psychometric properties and correlations with service utilisation and psychotherapy outcome. Evaluation and Program Planning, 5, 233237.CrossRefGoogle Scholar
Dolezal-Wood, S., Belar, C. D. and Snibbe, J. (2006). A comparison of computer-assisted psychotherapy and cognitive-behavioral therapy in groups. Journal of Clinical Psychology in Medical Settings, 5, 103115.CrossRefGoogle Scholar
Hawton, K., Salkovskis, P., Kirk, J. and Clark, D. M. (1989) Cognitive Behaviour Therapy for Psychiatric Problems. Chichester: Wiley.Google Scholar
Hayward, L., MacGregor, A. D., Peck, D. F. and Wilkes, P. (2007). The feasibility and effectiveness of computer-guided CBT (FearFighter) in a rural area. Behavioural and Cognitive Psychotherapy, 35, 409419.CrossRefGoogle Scholar
Himle, J. A., Fischer, D. J., Muroff, J. R., Van Etten, M. L., Lokers, L. M., Abelson, J. L. and Hanna, G. L. (2006). Videoconferencing-based cognitive behavioural therapy for obsessive compulsive disorder. Behaviour Research and Therapy, 44, 18211829.CrossRefGoogle ScholarPubMed
Lovell, K., Cox, D., Haddock, G., Jones, C., Raines, D., Garvet, R., Roberts, C. and Hadley, S. (2006). Telephone administered cognitive behaviour therapy for treatment of obsessive compulsive disorder: randomised controlled non-inferiority trial. British Medical Journal, 333, 883.CrossRefGoogle ScholarPubMed
Marks, I. M., Mataix-Cols, D., Kenwright, M., Cameron, R., Hirsch, S. and Gega, L. (2003). Pragmatic evaluation of computer-aided self-help for anxiety and depression. British Journal of Psychiatry, 183, 5765.CrossRefGoogle ScholarPubMed
National Institute for Health and Clinical Excellence (NICE) (2006). Depression and Anxiety: computerised cognitive behavioural therapy (Review of Technology Appraisal 51). Retrieved on 3 November 2007 from www.nice.org.uk.Google Scholar
Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A., Tylee, A. and Gray, J. A. (2004). Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry, 185, 4654.CrossRefGoogle ScholarPubMed
Richards, D. A., Lovell, K. and McEvoy, P. (2003). Access and effectiveness in psychological therapies: self-help as a routine health technology. Health and Social Care in the Community, 11, 175182.CrossRefGoogle ScholarPubMed
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