From: Psychotherapy mediated by remote communication technologies: a meta-analytic review
Study | Target population | Study groups | Description of intervention in each group |
---|---|---|---|
Hunkeler (2000) | Depressed primary care patients | Usual care plus telephone support & peer care | 'Good care' incorporating regular GP visits, continued antidepressant prescribing and any other referral thought usual by GP. Augmented by telephone-delivered medication adherence support, side-effect discussions and behavioural activation plans (mean of 10.1 × 5.6 min sessions over 16 wks) plus one or more telephone or face-to-face (6/62 participants) peer support contacts. |
 |  | Usual care plus telephone support | As above, minus peer support |
 |  | Usual care | As above minus telephone & peer support. |
Lange (2001) | Psychology students with trauma experience | Internet-mediated writing therapy | 30 web-pages of psychoeducation followed by 10 × 45-min writing sessions over 5 wks (2/wk), therapist feedback (appro× 450 words) provided on 7 occasions across 3 treatment phases (self-confrontation, cognitive re-appraisal, sharing & farewell ritual). |
 |  | Waiting list | 30 web pages of psychoeducation only |
Lange (2003) | Individuals with mild-relatively severe trauma symptoms | Internet-mediated writing therapy | 30 web-pages of psychoeducation followed by 10 × 45-min writing sessions over 5 wks (2/wk), therapist feedback (approx 450 words) provided on 7 occasions across 3 treatment phases (self-confrontation, cognitive re-appraisal, sharing & farewell ritual). |
 |  | Delayed treatment | As above, but only received once the intervention group had completed treatment. |
Lovell (2006) | Secondary care outpatients with OCD | Face-to-face CBT | 10 × 1-hr sessions using exposure & response prevention. Sessions incorporated the establishment of fear hierarchies, use of family co-therapist, weekly exposure targets (to be practised between sessions for at least 1-hr/dy), homework reviews and collaborative problem solving. |
 |  | Telephone CBT | 8 weekly telephone calls of up to 30-mins in length with treatment content identical to above. Homework sheets posted to participants. Initial 1-hr face-to-face session covering the same material as the face-to-face arm plus 1 × 1-hr final session face-to-face |
Lynch (1997) | Primary care patients with minor depression | Telephone counselling | 6 × 20-min sessions based on problem-solving for depression; homework comprising of 5 steps of treatment including a demonstration of the connection between depressed mood and problems, expressing problems in a form that facilitates solutions, evaluating and modifying these solutions. |
 |  | Comparison group | No further details provided |
Lynch (2004) | Primary care patients with minor depression | Telephone problem solving | Nezu's problem solving therapy adapted for telephone use and administered over a 6-wk period |
 |  | Telephone stress management | Treatment designed to serve as an attention control with topics including the identification of sources of stress, the importance of diet & exercise, ways of coping with stress |
 |  | Usual care | Usual treatment deemed appropriate by primary care physician. |
McName e (1989) | Housebound agoraphobics with panic disorder | Telephone self exposure | Exposure goals set via 10 × 12-min telephone contacts with therapists. Subjects posted a self-help manual that encouraged use of coping strategies and family co-therapists. |
 |  | Telephone relaxation therapy | Subjects posted standard taped instructions of Jacobsen's relaxation and instructed to listen for at least 1-hr/dy. Therapy augmented by 10 × 12-min telephone consultations. |
Miller (2002) | Women with history of recurrent/chronic depression | Telephone interpersonal psychotherapy (IPT-T) | 12 × 1-hr scheduled weekly sessions. |
 |  | Usual care | No treatment beyond usual care |
Mohr (2000) | Depressed MS patients | Telephone CBT | 8 × 50-min sessions plus a workbook with assignments. Treatment delivered alongside access to usual care. |
 |  | Usual care | Any treatment given in the course of usual clinician care. |
Mohr (2005) | Depressed primary care patients with MS | Telephone CBT (T-CBT) | Weekly 50-min sessions completed over 16 wks. |
 |  | Telephone supportive emotion focussed therapy (T-SEFT) | Weekly 50-min sessions completed over 16 wks |
Nelson (2003) | Depressed children aged 8–14 yrs | Videoconferenc e CBT | 8 sessions (1 × 90-min plus 7 × 60-min). |
 |  | Face-to-face CBT | 8 sessions (1 × 90-min plus 7 × 60-min). |
Simon (2004) | Depressed primary care patients | Telephone psychotherapy | 8 × 30–40 min CBT plus 1 mail contact and 3 × 10–15 min telephone sessions focussed on medication management, caseload tracking and structured assessment. |
 |  | Telephone care management | As above minus telephone CBT. Patients given CBT self-management booklet but no further support provided. |
 |  | Usual care | No further details given |
Swinson (1995) | Rural primary care patients suffering from panic disorder with agoraphobia | Telephone behaviour therapy | Mailed psychometric package and educational workbook serving as an introduction to behavior therapy concepts (e.g. hierarchy construction, exposure exercises, record keeping); 8 × 1-hr scheduled therapy sessions completed over approx. 10 wks. Therapy included exposure principles & exercises, long term goals, hierarchy construction, coping strategies, diary keeping, homework planning & reviewing. |
 |  | Waiting list | Initial psychometric package followed 10 wks later by an additional psychometric package and a workbook serving as an introduction to behavior therapy concepts (e.g. hierarchy construction, exposure exercises, record keeping). |