{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T01:31:26Z","timestamp":1780536686380,"version":"3.54.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2012,9,8]],"date-time":"2012-09-08T00:00:00Z","timestamp":1347062400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>NICE recommends computerised cognitive behavioural therapy (cCBT) for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS) in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1472-6947-12-102","type":"journal-article","created":{"date-parts":[[2012,9,8]],"date-time":"2012-09-08T00:14:33Z","timestamp":1347063273000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland"],"prefix":"10.1186","volume":"12","author":[{"given":"David","family":"Kenicer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie-Anne","family":"McClay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2012,9,8]]},"reference":[{"key":"561_CR1","volume-title":"Depression: Management of depression in primary and secondary care. CG90","author":"NICE","year":"2009","unstructured":"NICE: Depression: Management of depression in primary and secondary care. CG90. 2009, London: National Institute for Clinical Excellence"},{"key":"561_CR2","volume-title":"Computerised cognitive behaviour therapy for depression and anxiety: guidance. TA97","author":"NICE","year":"2006","unstructured":"NICE: Computerised cognitive behaviour therapy for depression and anxiety: guidance. TA97. 2006, London: National Institute for Clinical Excellence"},{"key":"561_CR3","volume-title":"Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa, and Related Eating Disorders","author":"NICE","year":"2004","unstructured":"NICE: Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa, and Related Eating Disorders. 2004, London: National Institute for Clinical Excellence"},{"key":"561_CR4","volume-title":"Non-pharmaceutical management of depression in adults: A national clinical guideline","author":"SIG Network","year":"2010","unstructured":"Network SIG: Non-pharmaceutical management of depression in adults: A national clinical guideline. 2010, Scotland: National Health Service"},{"key":"561_CR5","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1192\/bjp.186.1.11","volume":"186","author":"P Bower","year":"2005","unstructured":"Bower P, Gilbody S: Stepped care in psychological therapies: access, effectiveness and efficiency: Narrative literature review. Br J Psychiatry. 2005, 186: 11-17. 10.1192\/bjp.186.1.11.","journal-title":"Br J Psychiatry"},{"key":"561_CR6","doi-asserted-by":"publisher","first-page":"593","DOI":"10.3109\/09638237.2011.613956","volume":"20","author":"N Ridgway","year":"2011","unstructured":"Ridgway N, Williams C: Cognitive behavioural therapy self-help for depression: An overview. J Ment Health. 2011, 20: 593-603. 10.3109\/09638237.2011.613956.","journal-title":"J Ment Health"},{"key":"561_CR7","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1017\/S0033291707000062","volume":"37","author":"J Gellatly","year":"2007","unstructured":"Gellatly J, Bower P, Hennessey S, Richards D, Gilbody S, Lovell K: What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychol Med. 2007, 37: 1217-1228. 10.1017\/S0033291707000062.","journal-title":"Psychol Med"},{"key":"561_CR8","first-page":"69","volume-title":"Oxford Guide to Low Intensity CBT Interventions. Series: Oxford Guides to Cognitive Behavioural Therapy","author":"C Williams","year":"2010","unstructured":"Williams C, Morrison J: A new language for cognitive behavioural therapy: new ways of working require new thinking, as well as new words. Oxford Guide to Low Intensity CBT Interventions. Series: Oxford Guides to Cognitive Behavioural Therapy. Edited by: Bennett-Levy J, Richards D, Farrand P, Christensen H, Griffiths K, Kavanagh D, Klein B, Lau MA, Proudfoot J, Ritterband L, White J, Williams C. 2010, Oxford: Oxford University Press, 69-86."},{"key":"561_CR9","volume-title":"Scotland's Population","author":"Scottish Government","year":"2011","unstructured":"Scottish Government: Scotland's Population. 2011,http:\/\/www.gro-scotland.gov.uk\/files2\/stats\/annual-review-2011\/j21285200.htm, : The Registrar General\u2019s Annual Review of Demographic Trends 157th Edition,"},{"key":"561_CR10","volume-title":"NHS Scotland Chief Executive\u2019s Annual Report","author":"Scottish Government","year":"2010","unstructured":"Scottish Government: NHS Scotland Chief Executive\u2019s Annual Report. 2010,http:\/\/www.scotland.gov.uk\/Publications\/2011\/11\/10140644\/4, \/11,"},{"key":"561_CR11","unstructured":"Information Services Division (ISD) Scotland: Psychological Therapies HEAT access target.http:\/\/www.isdscotland.org\/Health-Topics\/Mental-Health\/Psychological-Therapies.asp,"},{"key":"561_CR12","first-page":"117","volume":"8","author":"D Learmonth","year":"2008","unstructured":"Learmonth D, Trosh J, Rai S, Sewell J, Cavanagh K: A Computer based treatment for Anxiety and Depression in a Secondary\/Tertiary Care Specialist CBT Service. Counselling and Counselling Research. 2008, 8: 117-123.","journal-title":"Counselling and Counselling Research"},{"key":"561_CR13","volume-title":"Scotland's People Annual report: Results from 2009\/2010 Scottish Household Survey","author":"Scottish Government","year":"2011","unstructured":"Scottish Government: Scotland's People Annual report: Results from 2009\/2010 Scottish Household Survey. 2011,http:\/\/www.scotland.gov.uk\/Publications\/2011\/08\/17093111\/0,"},{"key":"561_CR14","unstructured":"Healthcare Industries Task Force: Better Healthcare Through Partnership: A programme for action. 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