Comparison of Cognitive Behavioral Therapy: Face to Face versus Remote Delivery

2.50
Hdl Handle:
http://hdl.handle.net/10755/308332
Category:
Abstract
Type:
Presentation
Title:
Comparison of Cognitive Behavioral Therapy: Face to Face versus Remote Delivery
Author(s):
McCarthy, Michaela S.; Matthews, Ellyn E.
Lead Author STTI Affiliation:
Alpha Kappa
Author Details:
Michaela S. McCarthy, RN, MSN, michaela.mccarthy@ucdenver.edu; Ellyn E. Matthews, PhD, RN
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Cognitive behavioral therapy (CBT) is an efficacious intervention used to treat a variety of physical and psychological conditions.  Access to CBT is limited by the number of trained therapists and the geographic distance between therapist and patient.  Remote CBT, delivered by telephone or videoconference, has been studied as way to provide CBT to rural and underserved patients.

The purpose of this critical review is to evaluate studies that compare face to face versus remote cognitive behavioral therapy (CBT) in a parallel study design.   The studies included in this review use either telephone or videoconference to deliver the remote therapy for conditions including insomnia, panic disorder, chronic fatigue syndrome, posttraumatic stress disorder, depression, obsessive compulsive disorder, and bulimia nervosa.  Sample sizes range from 11-325 participants, with Caucasian females, males in the military, and urban participants disproportionately represented.  The therapeutic dose (length of session) varied within studies, and remote therapy participants often receiving a smaller therapeutic dose.  Therapeutic alliance (TA) and patient satisfaction with treatment were evaluated in 25% of the studies.  TA was found to be higher in participants receiving the face to face therapy, while patient satisfaction with treatment was equal in both groups.  Most studies showed no significant differences in outcomes between face to face and remote CBT delivered by telephone or videoconference.  Two studies favored remote treatment while two indicated that face to face CBT was more effective. 

In conclusion, this literature review supports the efficacy of remote delivery of CBT via the telephone or videoconference.  Future studies need to examine challenges to the adoption of remote CBT in diverse groups including rural, minority, and elderly populations.  In addition, alternative methods of delivering CBT remotely should be explored.

Keywords:
cognitive behavioral therapy (CBT); therapeutic alliance; videoconference
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleComparison of Cognitive Behavioral Therapy: Face to Face versus Remote Deliveryen_GB
dc.contributor.authorMcCarthy, Michaela S.en_GB
dc.contributor.authorMatthews, Ellyn E.en_GB
dc.contributor.departmentAlpha Kappaen_GB
dc.author.detailsMichaela S. McCarthy, RN, MSN, michaela.mccarthy@ucdenver.edu; Ellyn E. Matthews, PhD, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308332-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Cognitive behavioral therapy (CBT) is an efficacious intervention used to treat a variety of physical and psychological conditions.  Access to CBT is limited by the number of trained therapists and the geographic distance between therapist and patient.  Remote CBT, delivered by telephone or videoconference, has been studied as way to provide CBT to rural and underserved patients. <p>The purpose of this critical review is to evaluate studies that compare face to face versus remote cognitive behavioral therapy (CBT) in a parallel study design.   The studies included in this review use either telephone or videoconference to deliver the remote therapy for conditions including insomnia, panic disorder, chronic fatigue syndrome, posttraumatic stress disorder, depression, obsessive compulsive disorder, and bulimia nervosa.  Sample sizes range from 11-325 participants, with Caucasian females, males in the military, and urban participants disproportionately represented.  The therapeutic dose (length of session) varied within studies, and remote therapy participants often receiving a smaller therapeutic dose.  Therapeutic alliance (TA) and patient satisfaction with treatment were evaluated in 25% of the studies.  TA was found to be higher in participants receiving the face to face therapy, while patient satisfaction with treatment was equal in both groups.  Most studies showed no significant differences in outcomes between face to face and remote CBT delivered by telephone or videoconference.  Two studies favored remote treatment while two indicated that face to face CBT was more effective.  <p>In conclusion, this literature review supports the efficacy of remote delivery of CBT via the telephone or videoconference.  Future studies need to examine challenges to the adoption of remote CBT in diverse groups including rural, minority, and elderly populations.  In addition, alternative methods of delivering CBT remotely should be explored.en_GB
dc.subjectcognitive behavioral therapy (CBT)en_GB
dc.subjecttherapeutic allianceen_GB
dc.subjectvideoconferenceen_GB
dc.date.available2013-12-19T17:29:56Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:56Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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