Computerised CBT for Depression

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What is computerised CBT (cCBT)?
A method of delivering CBT via an interactive computer interface.
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What are some examples of cCBT programmes?
Beating the Blues, COPE and Overcoming Depression.
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What is a systematic search strategy?
A review in which evidence has been identified, appraised and synthesised in a methodical way according to predetermined criteria.
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What does the systematic search strategy involve knowing (3)?
Inclusion/ exclusion criteria for study inclusion, where to look, how to search effectively.
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What are the arguments supporting cCBT (3)?
Mainly supports cCBT for depression, can be cost-effective if it reduces time spent with therapist, can be effective at LI.
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What are the arguments against cCBT (3)?
Studies show high drop out rates, no evidence showing patient preference for particular programmes, no evidence suggesting which programme is most effective.
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What does NICE recommend for treatment using cCBT (7)?
Beating the Blues, COPE or Overcoming Depression only for new clinical trials, stand-alone computer/ web-based programmes, explanation of CBT, homework, active monitoring, 9-12 weeks, follow up.
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Why does NICE recommend cCBT (7)?
Evidence that it works, increased treatment flexibility, support therapist sessions, home delivery, minimal therapist appointment time, 24-hour availability, repeatability.
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What are the pros of service reforming (5)?
Easy accessibility, standardizes CBT delivery, allows home access so saves time/ money on travel, depressed patients more willing as they can stay at home, GP referrals to counsellors are time consuming/ expensive.
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What are the cons of service reforming (6)?
Counselling improves patients self-worth/ adequacy, helps work through negative responses, lack of human contact with cCBT, not available for HI, training/ implementation of cCBT has financial implications, cCBT more difficult for older adults.
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What is are the main roles of clinical commissioning groups (CCG) (2)?
Commissioning healthcare services for their local population, supporting quality improvement in general practice.
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What are the pros of GP commissioning (4)?
Clinician lead may mean more expert medical knowledge, local level decisions, avoids buying unwanted services, puts power in the hands of the patient/ public.
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What are the cons of GP commissioning (4)?
Lack of knowledge/ expertise at a local level, small CCGs forced to become experts in all areas, GPs unable to get on with the job of treating patients, another "shake up" of the NHS could be deemed expensive/ bureaucratic/ time-consuming.
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Card 2

Front

What are some examples of cCBT programmes?

Back

Beating the Blues, COPE and Overcoming Depression.

Card 3

Front

What is a systematic search strategy?

Back

Preview of the front of card 3

Card 4

Front

What does the systematic search strategy involve knowing (3)?

Back

Preview of the front of card 4

Card 5

Front

What are the arguments supporting cCBT (3)?

Back

Preview of the front of card 5
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