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Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes

  • Lauren G. Staples (a1), Vincent J. Fogliati (a1), Blake F. Dear (a1), Olav Nielssen (a1) and Nickolai Titov (a1)...
Abstract
Background

The Wellbeing Plus Course is an internet-delivered psychological intervention for older adults with anxiety or depression.

Aims

To compare the effectiveness of the Wellbeing Plus Course in a public health setting (clinic group) with its efficacy in a randomised controlled trial (research group).

Method

Participants (n = 949) were Australian adults aged 60 and above. Primary outcome measures were the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7).

Results

Initial symptom severity was higher in the clinic group and course completion was lower. Both groups showed significant symptom reductions at post-treatment and were satisfied with the treatment. Results were maintained at 3-month follow-up. Within-group symptom changes were comparable between settings; there were no between-group differences on primary outcomes or satisfaction.

Conclusions

The Wellbeing Plus Course is as effective and acceptable in routine clinical care, as it is in controlled research trials.

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Copyright
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Corresponding author
Nickolai Titov, MindSpot Clinic, Macquarie University, Ground Floor, Australian Hearing Hub, Sydney, New South Wales, Australia. Email: nick.titov@mq.edu.au
Footnotes
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Declaration of interest

N.T. and B.F.D developed the Wellbeing Plus Course but derived no financial benefit from it.

Footnotes
References
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Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes

  • Lauren G. Staples (a1), Vincent J. Fogliati (a1), Blake F. Dear (a1), Olav Nielssen (a1) and Nickolai Titov (a1)...
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