Pragmatic trial of two bilingual ICBT programs in Canadian outpatient clinics

Why was the study done?

While the efficacy of Internet-based cognitive behaviour therapy (ICBT) for anxiety and depression is well-established, less is known of how these results can be generalized to routine care. This study was performed to assess the effectiveness of two ICBT courses when provided in a therapist-guided format to waitlist and intake patients for the management of anxiety and depression.

What was done in the study?

Two ICBT programs (the Wellbeing Course and the Mood Mechanic Course) were evaluated for their effectiveness in reducing feelings of depression, anxiety, and psychological distress.

What did we find out?

This study found moderate to large improvements on all treatment outcomes, and while attrition was higher than in previous studies, satisfaction with the ICBT programs was high among study completers.

Where do we go from here?

This study demonstrates that therapist-guided ICBT may help to increase access to treatment for some patients, especially those who face barriers to receiving outpatient care.