Exploring the potential of using internet-delivered CBT (iCBT) for people in IAPT services as a prequel to high intensity therapy (HIT) for depression and anxiety disorders.

STUDY OBJECTIVES 

To explore the potential of using internet-delivered CBT (iCBT) for people in IAPT services as a prequel to high intensity therapy (HIT) for depression and anxiety disorders.

STUDY DESIGN

A mixed methods, uncontrolled feasibility design examining quantitatively clinical outcomes on depression and anxiety, functional outcomes in terms of work and social functioning, cost effectiveness and therapeutic alliance between patient and clinician in regards to step-3 services. Qualitatively, patient satisfaction and clinician experience of the usability and acceptability of the online intervention will be explored. Therapeutic alliance will be examined via quantitative questionnaire and a semi-structured interview will also be conducted with clinicians supporting the platform.

STUDY SITE
Sussex Community NHS Trust IAPT service

PARTICIPANTS
42 participants will be recruited to each of the three interventions, for a total sample size of 126. Clinician involvement in the study will employ a convenience sample, using those who reply back to recruitment email as participants.

Study outcome measures 

  • GAD-7

  • PHQ-9

  • IAPT Minimum Data Set

  • STAR-P/C (therapeutic alliance measures for patients and clinicians respectively)

  • Usability & Acceptability Questionnaire

  • Semi-structured interview.

Inclusion Criteria

  • Suitable for a step 3 intervention at IAPT.

  • 18 years old and above.

  • Able to read English.

  • Have capacity and willing to consent.

  • Have selected a SilverCloud intervention as part of their therapeutic package.

  • Is not receiving an intervention that is outside of treatment as usual or is a part of another trial.

  • Does not have specific communication needs.

©2017 E-Mental Health Research Group,

School of Psychology, Trinity College Dublin