PreprintBrief ReportVersion 1Preserved in Portico This version is not peer-reviewed
Satisfaction, Engagement, and Outcomes in Internet-Delivered Cognitive Behaviour Therapy Adapted for People of Diverse Ethnocultural Groups: An Observational Trial with Benchmarking
Version 1
: Received: 22 July 2023 / Approved: 24 July 2023 / Online: 24 July 2023 (08:50:52 CEST)
How to cite:
Sapkota, R.P.; Valli, E.; Dear, B.F.; Titov, N.; Hadjistavropoulos, H.D. Satisfaction, Engagement, and Outcomes in Internet-Delivered Cognitive Behaviour Therapy Adapted for People of Diverse Ethnocultural Groups: An Observational Trial with Benchmarking. Preprints2023, 2023071574. https://doi.org/10.20944/preprints202307.1574.v1
Sapkota, R.P.; Valli, E.; Dear, B.F.; Titov, N.; Hadjistavropoulos, H.D. Satisfaction, Engagement, and Outcomes in Internet-Delivered Cognitive Behaviour Therapy Adapted for People of Diverse Ethnocultural Groups: An Observational Trial with Benchmarking. Preprints 2023, 2023071574. https://doi.org/10.20944/preprints202307.1574.v1
Sapkota, R.P.; Valli, E.; Dear, B.F.; Titov, N.; Hadjistavropoulos, H.D. Satisfaction, Engagement, and Outcomes in Internet-Delivered Cognitive Behaviour Therapy Adapted for People of Diverse Ethnocultural Groups: An Observational Trial with Benchmarking. Preprints2023, 2023071574. https://doi.org/10.20944/preprints202307.1574.v1
APA Style
Sapkota, R.P., Valli, E., Dear, B.F., Titov, N., & Hadjistavropoulos, H.D. (2023). Satisfaction, Engagement, and Outcomes in Internet-Delivered Cognitive Behaviour Therapy Adapted for People of Diverse Ethnocultural Groups: An Observational Trial with Benchmarking. Preprints. https://doi.org/10.20944/preprints202307.1574.v1
Chicago/Turabian Style
Sapkota, R.P., Nickolai Titov and Heather D. Hadjistavropoulos. 2023 "Satisfaction, Engagement, and Outcomes in Internet-Delivered Cognitive Behaviour Therapy Adapted for People of Diverse Ethnocultural Groups: An Observational Trial with Benchmarking" Preprints. https://doi.org/10.20944/preprints202307.1574.v1
Abstract
Depression and anxiety are the most common mental health disorders worldwide. Internet-Delivered Cogni-tive Behaviour Therapy (ICBT) can reduce barriers to care for broad cross sections of the population. How-ever, People of Diverse Ethnocultural Backgrounds (PDEGs) other than White/Caucasian underutilize mental health services and are underrepresented in clinical trials of psychological interventions. To address this research gap, we adapted an evidence-based ICBT program for PDEGs. The current pilot study explores the effectiveness, satisfaction, and engagement in the adapted ICBT by PDEGs (N=41) when benchmarked against a sample of PDEGs (N=134) drawn from a previous non-adapted version of the ICBT program. Inntent-to-treat analyses showed that the adapted ICBT program is effective in reducing anxiety and de-pression symptoms among PDEGs. Large within-group pre-to-post-treatment Cohen’s effect sizes of d = 1.23, 95% CI [0.68, 1.77] and d = 1.24, 95% CI [0.69, 1.79] were found for depression and anxiety, respectively. Further, 81.8% of the PDEGs who received the adapted ICBT program reported high overall satisfaction, 90.9 % reported increased confidence in managing symptoms, and 70.7% of participants completed the ma-jority of the psychoeducational lessons in the ICBT program. No statistically significant differences in clinical outcomes, engagement, and satisfaction were found between the pilot study and benchmark sample. Future directions for ICBT research with PDEGs are described.
Keywords
cognitive behaviour therapy; engagement; cultural adaptation; patient-oriented research; digital mental health; depression; anxiety; ICBT
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
