{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:14:06Z","timestamp":1790745246196,"version":"4.1.0"},"reference-count":26,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":246,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Computerised cognitive\u2013behavioural therapy (cCBT) for depression has the potential to be efficient therapy but engagement is poor in primary care trials.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We tested the benefits of adding telephone support to cCBT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We compared telephone-facilitated cCBT (MoodGYM) (<jats:italic>n<\/jats:italic> = 187) to minimally supported cCBT (MoodGYM) (<jats:italic>n<\/jats:italic> = 182) in a pragmatic randomised trial (trial registration: ISRCTN55310481). Outcomes were depression severity (Patient Health Questionnaire (PHQ)-9), anxiety (Generalized Anxiety Disorder Questionnaire (GAD)-7) and somatoform complaints (PHQ-15) at 4 and 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Use of cCBT increased by a factor of between 1.5 and 2 with telephone facilitation. At 4 months PHQ-9 scores were 1.9 points lower (95% CI 0.5\u20133.3) for telephone-supported cCBT. At 12 months, the results were no longer statistically significant (0.9 PHQ-9 points, 95% CI \u22120.5 to 2.3). There was improvement in anxiety scores and for somatic complaints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Telephone facilitation of cCBT improves engagement and expedites depression improvement. The effect was small to moderate and comparable with other low-intensity psychological interventions.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.bp.116.192435","type":"journal-article","created":{"date-parts":[[2017,3,3]],"date-time":"2017-03-03T01:10:14Z","timestamp":1488503414000},"page":"362-367","source":"Crossref","is-referenced-by-count":101,"title":["Telephone-supported computerised cognitive\u2013behavioural therapy: REEACT-2 large-scale pragmatic randomised controlled 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