ReviewmHealth2025
Implementation of a computer-assisted cognitive-behavioral therapy program for adults with depression and anxiety in an outpatient specialty mental health clinic.
Review in mHealth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Computer-assisted psychotherapy programs have demonstrated efficacy and potential for improving access to mental health services. However, little is known about their implementation, uptake and acceptability in real-world settings. As a quality improvement effort, we designed and implemented a computer-assisted cognitive-behavioral therapy (cCBT) program for adults in an outpatient specialty mental health clinic. We sought to increase access to psychotherapy services while maintaining good patient uptake and acceptability. The program included two pathways: (I) a cCBT-only pathway in which new clinic patients had access to online modules and up to ten 30-min telehealth appointments with a mental health clinician; and (II) an augmented-psychotherapy pathway in which clinicians recommended and incorporated online modules to patients already established in the clinic. The online content for the program was a vendor website that included 9 modules with written content, videos and interactive exercises to teach cognitive-behavioral skills. Twenty-seven patients started the program over 12 months (18 in the cCBT-only pathway and 9 in the augmented-psychotherapy pathway). Twelve patients (44.4%) completed all 9 modules of the program and 18 (66.7%) completed at least half the program. Engagement was higher in the cCBT-only pathway than in the augmented-psychotherapy pathway. Twelve of 18 cCBT-only patients responded to an acceptability survey with 83.3% indicating they were satisfied and 41.7% indicating the program met their needs. Clinician satisfaction was good among all three participating clinicians. The cCBT-only program provided timely access to psychotherapy services for new patients but uptake was very low with just 2.4% of new patients contacting the clinic for psychotherapy starting in the cCBT-only pathway. Many new callers elected to receive external referrals for more traditional forms of psychotherapy. Based on this low uptake, computer-assisted psychotherapies may fit best in settings where patients have not yet identified the specific type of care they wish to seek. Systems looking to adopt similar programs may also benefit from allowing ample time to develop industry partnerships, carefully considering the customizability and technical support available for online products, and introducing the programs to patients early in treatment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.