Patient-driven Internet Delivered Psychological Treatment

Summary

The effect of iCBT for adults with anxiety disorders is well-known. However, drop-out rates are common. In recent years more focus has been directed to the importance of patients being active agents in their own care and to increase the patient´s involvement in health care. Studies show that involving patients´ in treatment decisions and management of their own health care can contribute to better treatment outcomes and more appropriate use of health care service.

Few studies have evaluated patient involvement in iCBT-treatment. This study aims to evaluate the effect of patient-driven iCBT-treatment for patients with anxiety disorders seeking primary care in a randomized controlled trial. The study investigates the effect of patient-driven iCBT treatment of perceptions of being able to control the treatment and on drop-out from treatment. In addition, secondary research questions investigate measures of empowerment, anxiety and depression symptoms, general disability, satisfaction with treatment and feelings of being able to cope with one's mental illness in patient-driven iCBT.

Conditions

• Anxiety Disorders and Symptoms
• Internet-Based Intervention

Interventions

BEHAVIORAL

Patient-driven iCBT

1\) Participants who are randomized to the experimental condition are asked to make choices regarding the structure of their treatment by the time of the randomization call. The participant can choose which of the available treatment programs (targeting anxiety, worry, stress, sleep disorders or depression) they want to undergo, how many modules in the treatment program they want to complete and in what order, for how many weeks they want to complete the treatment as well as how much telephone contact and how much written contact they want to have with their therapist.

BEHAVIORAL

Standardized iCBT (TAU)

2\) Patients who are randomized to the control condition (standardized iCBT) undergo the usual iCBT program available for anxiety disorders for 8 weeks. The psychologist provide weekly feedback on the patient's exercises and interact with the patient via secure encrypted messages in the treatment program. A follow-up telephone call takes place at the middle of treatment and at the end of the treatment.

Sponsors & Collaborators

• Vastra Gotaland Region

  lead OTHER_GOV

Principal Investigators

• Linnea Nissling, Phd-student · Department of Psychology, University of Gothenburg, Sweden

• Martin Kraepelien, PhD · Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sweden

• Viktor Kaldo, Professor · Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sweden

• Dominique Hange, Docent · General Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, Sweden

• Anna Larsson, Psy M · Research, Development, Education and Innovation, Primary Health Care, Region Västra Götaland,Sweden

• Sandra Weineland, Docent · Department of Psychology, University of Gothenburg, Sweden

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-11-01

Primary Completion

2021-03-30

Completion

2021-03-30

Countries

• Sweden

Study Locations