Internet delivered cognitive behavior therapy for antenatal depression: A randomised controlled trial.

Source: Forsell, E., et al. 2017 - Pubmed ID: 28628768

Setting: Sweden,

Study design:

RCT

Follow up: 10 weeks

Patient group:

Sample size:

Total: 42 (39)

IG: 22 (21)

CG: 20 (18)

Inclusion criteria:

– Pregnant 10>28 weeks

– meet diagnostic criteria for major depression.

Type of technology:

Website
– education
– information
– messaging

Intervention:

Intervention: Guided self-help treatment where reading material (about 75,000 words), assessments, homework and work-sheets were delivered via a secure online platform. Patients also had a therapist providing regular feedback, encouragements and support in written messages 

Duration: 10 weeks

Add on: +

Control group: usual care

Clinical effect/ Patient safety:

Clinical effect:

– MADRS-S (depression) ↓ (improved

– EPDS →

Patient safety:

Two patients reported one minor adverse event, which was that they felt stressed about not keeping up with the treatment program.

Patient experiences/ Staff experiences:

Patient experiences:

Good satisfaction

Logged in 34.1 times during 10 weeks treatment.

Staff experiences:

NA

Costs and organization:

Investment:

Staff resources

– Development of online platform

Running:

Staff resources

– messaging patients

Organization:

NA

Health care utilization:

NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)