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5 results

  • Cost utility of behavioural activation delivered by the non-specialist

  • David Ekers, Christine Godfrey, Simon Gilbody, Steve Parrott, David A. Richards, Danielle Hammond, Adele Hayes
  • Journal:
    The British Journal of Psychiatry / Volume 199 / Issue 6 / December 2011
    Published online by Cambridge University Press:
    02 January 2018, pp. 510-511
    Print publication:
    December 2011
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  • Behavioural activation by non-specialists appears effective in the treatment of depression. We examined incremental cost-effectiveness of behavioural activation (n = 24) v. treatment as usual (n = 23) in a randomised controlled trial. Intention-to-treat analyses indicated a quality-adjusted life-year (QALY) difference in favour of behavioural activation of 0.20 (95% CI 0.01–0.39, P = 0.042), incremental cost-effectiveness ratio of £5756 per QALY and a 97% probability that behavioural activation is more cost-effective at a threshold value of £20 000. Results are promising for dissemination of behavioural activation but require replication in a larger study.

  • Behavioural activation delivered by the non-specialist: phase II randomised controlled trial

  • David Ekers, David Richards, Dean McMillan, J. Martin Bland, Simon Gilbody
  • Journal:
    The British Journal of Psychiatry / Volume 198 / Issue 1 / January 2011
    Published online by Cambridge University Press:
    02 January 2018, pp. 66-72
    Print publication:
    January 2011
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  • Background

    Behavioural activation appears as effective as cognitive– behaviour therapy (CBT) in the treatment of depression. If equally effective, then behavioural activation may be the preferred treatment option because it may be suitable for delivery by therapists with less training. This is the first randomised controlled trial to look at this possibility.

    Aims

    To examine whether generic mental health workers can deliver effective behavioural activation as a step-three high-intensity intervention.

    Method

    A randomised controlled trial (ISRCTN27045243) comparing behavioural activation (n = 24) with treatment as usual (n = 23) in primary care.

    Results

    Intention-to-treat analyses indicated a difference in favour of behavioural activation of –15.79 (95% CI –24.55 to –7.02) on the Beck Depression Inventory–II and Work and Social Adjustment Scale (mean difference –11.12, 95% CI –17.53 to –4.70).

    Conclusions

    Effective behavioural activation appears suitable for delivery by generic mental health professionals without previous experience as therapists. Large-scale trial comparisons with an active comparator (CBT) are needed.

  • A New Search for μs Time Scale Radio Pulses

  • Paul Demorest, Dan Werthimer, David Anderson, Aaron Golden, Ron Ekers
  • Journal:
    Symposium - International Astronomical Union / Volume 213 / 2004
    Published online by Cambridge University Press:
    19 September 2017, pp. 479-482
    Print publication:
    2004
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  • We describe a new search for intrinsically short (μs) dispersed pulses at 21 cm. This search uses coherent de-dispersion, implemented in a distributed computing framework. It will have a sensitivity of 10−18 W/m2 and cover the Arecibo sky ∼ 3 times.