Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes

Lauren G Staples, Vincent J Fogliati, Blake F Dear, Olav Nielssen, Nickolai Titov

    Research output: Contribution to journalArticlepeer-review

    17 Citations (Scopus)
    17 Downloads (Pure)

    Abstract

    BACKGROUND: The Wellbeing Plus Course is an internet-delivered psychological intervention for older adults with anxiety or depression.

    AIMS: To compare the effectiveness of the Wellbeing Plus Course in a public health setting (clinic group) with its efficacy in a randomised controlled trial (research group).

    METHOD: Participants (n=949) were Australian adults aged 60 and above. Primary outcome measures were the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7).

    RESULTS: Initial symptom severity was higher in the clinic group and course completion was lower. Both groups showed significant symptom reductions at post-treatment and were satisfied with the treatment. Results were maintained at 3-month follow-up. Within-group symptom changes were comparable between settings; there were no between-group differences on primary outcomes or satisfaction.

    CONCLUSIONS: The Wellbeing Plus Course is as effective and acceptable in routine clinical care, as it is in controlled research trials.

    DECLARATION OF INTEREST: N.T. and B.F.D developed the Wellbeing Plus Course but derived no financial benefit from it.

    COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

    Original languageEnglish
    Pages (from-to)307-313
    Number of pages7
    JournalBJPsych Open
    Volume2
    Issue number5
    DOIs
    Publication statusPublished - Sep 2016

    Bibliographical note

    Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

    Fingerprint Dive into the research topics of 'Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes'. Together they form a unique fingerprint.

    Cite this