{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:47:04Z","timestamp":1777412824647,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    In two randomized controlled trials Titov\n                    <jats:italic toggle=\"yes\">et al.<\/jats:italic>\n                    demonstrated significant benefit from an Internet- and email-based treatment programme for social phobia: the Shyness programme. Data are presented about the longer term outcomes (6 months after treatment), cost-effectiveness relative to face-to-face treatment, and the acceptability of the programme to participants.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Method:<\/jats:bold>\n                    Participants completed outcome and acceptability questionnaires at 6 months after treatment. Repeated measures analyses of variance were calculated using an intention-to-treat design. Cost-effectiveness in years lived with disability averted were calculated based on between-group effect sizes.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    A total of 59% of treatment group participants completed the 6 month follow-up questionnaires. Between post-treatment and 6 month follow up participants continued to make improvements in symptoms of social phobia, while maintaining improvements in mood, psychological distress, and disability. At 6 month follow up the mean within-group effect size (Cohen's d) for the two social phobia measures increased from 1.2 to 1.4. Cost-effectiveness in years lived with disability (YLD) averted was calculated as one-quarter that of face-to-face group treatment, or $AUD1495 for one YLD gained, compared to $AUD5686\/YLD gained. Participants rated the Internet treatment to be as effective and helpful as face-to-face treatment.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    The present results confirm the reliability of the short-term findings reported in the first two Shyness programmes. The procedure appears to be very cost-effective, and acceptable to participants. These data provide further support for the development of Internet-based virtual clinics for common mental disorders.\n                  <\/jats:p>","DOI":"10.1080\/00048670802534424","type":"journal-article","created":{"date-parts":[[2009,12,7]],"date-time":"2009-12-07T18:33:57Z","timestamp":1260210837000},"page":"36-44","source":"Crossref","is-referenced-by-count":76,"title":["Shyness Programme: Longer Term Benefits, Cost-Effectiveness, and Acceptability"],"prefix":"10.1177","volume":"43","author":[{"given":"Nickolai","family":"Titov","sequence":"first","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincents Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin","family":"Andrews","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincents Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Johnston","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincents Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevieve","family":"Schwencke","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella","family":"Choi","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia"},{"name":"CRUFAD at St Vincents Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,1]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00048670802119762"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00048670802119820"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00048670802512107"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2007.08.002"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.74.4.677"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.020107"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.10.002"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2005.07.001"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.01.008"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1033"},{"key":"e_1_3_2_12_1","article-title":"Internet-based treatment for panic disorder: does frequency of therapist contact make a difference?","author":"Klein B","unstructured":"11. 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