Louise Farrer|Helen Christensen|Kathleen M Griffiths|Andrew Mackinnon
Web-Based Cognitive Behavior Therapy for Depression With and Without Telephone Tracking in a National Helpline: Secondary Outcomes From a Randomized Controlled Trial
Australian National University|Australian National University|Australian National University|Orygen Youth Health|University of Melbourne
background earlier report indicated callers telephone counseling service benefited addition evidencebased web intervention depression known whether web intervention would also lower alcohol use stigma improve quality life knowledge depression treatments objective report secondary outcomes trial webbased cognitive behavior therapy cbt intervention depression including hazardous alcohol use quality life stigma depression literacy cbt literacy methods recruited sample 155 callers lifeline national telephone counseling service australia met criteria moderate high psychological distress participants randomly assigned 1 4 conditions 1 web cbt plus weekly telephone tracking 2 web cbt 3 weekly telephone tracking 4 neither web cbt telephone tracking participants assessed preintervention postintervention 6 12 months postintervention results postintervention participants completed web intervention either without telephone support lower levels hazardous alcohol use without tracking p 008 effect size 023 tracking p 003 effect size 026 improved quality life without tracking p 001 effect size 081 tracking p 009 effect size 063 improved cbt literacy without tracking p 01 effect size 071 tracking p 001 effect size 080 compared receive web intervention telephone support results quality life cbt literacy maintained 6 12months followup differences hazardous alcohol use significantly different conditions 6 12 months although omnibus tests depression literacy stigma nonsignificant contrasts revealed webonly condition showed significantly lower levels stigma participants control condition postintervention true participants webonly web plus tracking conditions 6 months similarly webonly web plus tracking conditions significantly higher depression literacy postintervention maintained webonly condition 6months followup significant differences found depression literacy stigma conditions 12 months conclusions evidencebased web interventions depression effective reducing depression symptoms also improving health outcomes including quality life hazardous alcohol use knowledge effective strategies depression selfmanagement trial registration international standard randomized controlled trial number isrctn 93903959 httpwwwcontrolledtrialscomisrctn93903959 archived webcite httpwwwwebcitationorg65y61nssh