Pilot Implementation of Computerized Cognitive Behavioral Therapy in a University Health Setting

• Published in: Administration and policy in mental health and mental health services research Vol. 41; no. 4; pp. 514 - 521
• Main Authors: Santucci, Lauren C., McHugh, R. Kathryn, Elkins, R. Meredith, Schechter, Brandon, Ross, Margaret S., Landa, Carrie E., Eisen, Susan, Barlow, David H.
• Format: Journal Article
• Language: English
• Published: Boston Springer US 01.07.2014; Springer Nature B.V
• Subjects: Adolescent; Adult; Anxiety; Anxiety - therapy; Anxiety-Depression; Behavior modification; Clinical Psychology; Cognitive behaviour therapy; Cognitive Therapy - methods; Depression - therapy; Efficacy; Female; Health; Health Administration; Health Informatics; Humans; Licenses; Male; Medicine; Medicine & Public Health; Meetings; Mental depression; Mental health; Original Article; Patient Compliance; Pilot Projects; Psychiatry; Public Health; Reminder Systems; Reminders; Student Health Services; Students; Symptoms; Therapy, Computer-Assisted - methods; Young Adult; Cognitive-behavioral therapy; cCBT; Dissemination; Implementation
• ISSN: 0894-587X; 1573-3289
• DOI: 10.1007/s10488-013-0488-2

This study evaluated the implementation of computerized cognitive-behavioral therapy (cCBT) for depression and anxiety in a university health center. Students reporting symptoms of depression and/or anxiety were offered cCBT and randomized to a session email reminder or no-reminder condition. Participants reported significant symptom and functional improvement after receiving treatment, comparable to outcomes achieved in controlled efficacy trials. However, rates of session completion were low, and reminders did not enhance retention. Results suggest that cCBT is a promising intervention in this population, with little attenuation of gains relative to efficacy trials but low levels of treatment completion.