Digital IAPT (Berkshire)
Research type
Research Study
Full title
Digital IAPT: The effectiveness & cost-effectiveness of internet-delivered interventions for depression and anxiety disorders in the Improving Access to Psychological Therapies programme.
IRAS ID
214669
Contact name
Derek Richards
Contact email
Sponsor organisation
SilverCloud Health (Dublin Offices)
Duration of Study in the UK
1 years, 1 months, 0 days
Research summary
Depression and anxiety are common mental health problems. There are effective treatments for depression and anxiety and one of these is talking therapies using cognitive behaviour therapy (CBT). In recent years CBT has been transferred to online delivery methods and these interventions have proven successful for people being treated with symptoms of depression and anxiety.
The current study will utilise a randomised controlled trial design, where the majority (n=240) of participants will be allocated to the immediate treatment (internet-delivered CBT for either depression or anxiety), and a smaller number (n=120) will be allocated to a waiting list. The waiting list group will receive treatment after an eight-week wait. This design helps us to understand that any changes in symptoms in the treatment group will be likely due to the treatment they received compared to the waiting list.
A sample size of 360 participants is proposed and has been adjusted to ameliorate against patient dropout. Follow-up and maintenance of any positive changes in symptoms is very important in CBT for depression and anxiety, simply because some people can have a relapse of symptoms. We will follow-up the treatment group for 3, 6, 9 and 12 months to assess maintenance of positive gains from treatment.
Finally, the study also seeks to investigate some of the characteristics that have been identified as positive in affecting therapeutic changes for people in treatment for depression and anxiety. We will investigate negative thinking, therapist behaviours and CBT skills usage. In addition, we will also examine the nature of the therapeutic alliance online and participants expectancy / credibility of internet-delivered treatments.
It is expected that in conducting the current study, the research team will contribute to the growing field of literature supporting the utility & cost-effectiveness of internet-delivered interventions at Step 2 of IAPT.
REC name
North West - Haydock Research Ethics Committee
REC reference
17/NW/0311
Date of REC Opinion
16 May 2017
REC opinion
Favourable Opinion