Robin Maria Francisca Kenter|Peter M. van de Ven|Pim Cuijpers|Ger Koole|Safar Niamat|Rob S. Gerrits|Mark E. T. Willems|Annemieke van Straten
Costs and effects of Internet cognitive behavioral treatment blended with face-to-face treatment: Results from a naturalistic study
Vrije Universiteit Amsterdam|EMGO Institute for Health and Care Research|EMGO Institute for Health and Care Research|Vrije Universiteit Amsterdam|EMGO Institute for Health and Care Research|Vrije Universiteit Amsterdam|Vrije Universiteit Amsterdam|Dimence|Vrije Universiteit Amsterdam|EMGO Institute for Health and Care Research
research convincingly demonstrated internet interventions effective anxiety depression suggested interventions reduce therapist time thus save costs therefore many dutch mental health organizations started implement treatments services usually apply internet interventions combination facetoface treatments ie blended treatments date empirical work examined implementing blended treatments actually contributes treatment effects cost savings objective naturalistic study examine issue using routine mental health care data patients depression anxiety 4448 records patients depression anxiety seeking help large mental health service october 2009 december 2012 obtained data gafindex therapist time therapist costs patients received facetoface treatments compared received blended care using propensity score matching blended care applied 36 patients given frequently younger patients patients anxiety disorder significant differences symptom severity baseline two treatment groups significant differences two groups symptom improvement patients received blended care treatment sessions facetoface plus online sessions patients received standard treatment resulted significantly treatment time higher costs findings suggest sample blended care expensive compared established facetoface treatments doesnt lead additional benefits terms general functioning might caused suboptimal implementation strateges