Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial
Background Research is needed to determine the extent to which internet-delivered psychological therapies are effective when delivered in countries and cultures outside of where they were developed. Objective This waitlist-controlled study evaluated the efficacy of a UK-developed, therapist-guided...
| मुख्य लेखकों: | , , , , , , |
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| स्वरूप: | Journal article |
| भाषा: | English |
| प्रकाशित: |
Elsevier
2022
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| _version_ | 1826308244245577728 |
|---|---|
| author | Thew, G Kwok, A Lissillour Chan, M Powell, C Wild, J Leung, P Clark, D |
| author_facet | Thew, G Kwok, A Lissillour Chan, M Powell, C Wild, J Leung, P Clark, D |
| author_sort | Thew, G |
| collection | OXFORD |
| description | Background
Research is needed to determine the extent to which internet-delivered psychological therapies are effective when delivered in countries and cultures outside of where they were developed.
Objective
This waitlist-controlled study evaluated the efficacy of a UK-developed, therapist-guided internet Cognitive Therapy programme for Social Anxiety Disorder (iCT-SAD) when delivered in Hong Kong by local therapists.
Methods
Patients were randomized to iCT-SAD (n = 22) or a waitlist control group (n = 22). Assessments took place at weeks 0, 8, and 15 (posttreatment/postwait), with a further 3-month follow-up assessment for the iCT-SAD group. The primary outcome measure was the Liebowitz Social Anxiety Scale (self-report), and posttreatment/postwait diagnostic assessments were completed by independent assessors blind to condition. Trial Registration: ISRCTN11357117.
Results
Compared with the waitlist group, iCT-SAD significantly reduced social anxiety symptoms (adjusted difference at posttreatment 55.36, 95%CI 44.32 to 66.39, p < 0.001; dCohen 2.41). The treatment was also superior to waitlist on all secondary outcome measures. 86% of the iCT-SAD group demonstrated remission from SAD based on the LSAS, compared to 5% of the waitlist group. 73% no longer met diagnostic criteria at posttreatment, compared to 9% of the waitlist group. The gains made by the iCT-SAD group were maintained at three-month follow-up.
Conclusions
iCT-SAD showed strong efficacy for the treatment of SAD in Hong Kong. As the clinical outcomes were similar to UK studies, this suggests the dissemination of the treatment into a different cultural setting did not result in a substantial loss of efficacy.
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| first_indexed | 2024-03-07T07:16:41Z |
| format | Journal article |
| id | oxford-uuid:53b58583-12c8-473d-a9d4-bb6acd5da1c7 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:16:41Z |
| publishDate | 2022 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:53b58583-12c8-473d-a9d4-bb6acd5da1c72022-08-22T08:27:35ZInternet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:53b58583-12c8-473d-a9d4-bb6acd5da1c7EnglishSymplectic ElementsElsevier2022Thew, GKwok, ALissillour Chan, MPowell, CWild, JLeung, PClark, DBackground Research is needed to determine the extent to which internet-delivered psychological therapies are effective when delivered in countries and cultures outside of where they were developed. Objective This waitlist-controlled study evaluated the efficacy of a UK-developed, therapist-guided internet Cognitive Therapy programme for Social Anxiety Disorder (iCT-SAD) when delivered in Hong Kong by local therapists. Methods Patients were randomized to iCT-SAD (n = 22) or a waitlist control group (n = 22). Assessments took place at weeks 0, 8, and 15 (posttreatment/postwait), with a further 3-month follow-up assessment for the iCT-SAD group. The primary outcome measure was the Liebowitz Social Anxiety Scale (self-report), and posttreatment/postwait diagnostic assessments were completed by independent assessors blind to condition. Trial Registration: ISRCTN11357117. Results Compared with the waitlist group, iCT-SAD significantly reduced social anxiety symptoms (adjusted difference at posttreatment 55.36, 95%CI 44.32 to 66.39, p < 0.001; dCohen 2.41). The treatment was also superior to waitlist on all secondary outcome measures. 86% of the iCT-SAD group demonstrated remission from SAD based on the LSAS, compared to 5% of the waitlist group. 73% no longer met diagnostic criteria at posttreatment, compared to 9% of the waitlist group. The gains made by the iCT-SAD group were maintained at three-month follow-up. Conclusions iCT-SAD showed strong efficacy for the treatment of SAD in Hong Kong. As the clinical outcomes were similar to UK studies, this suggests the dissemination of the treatment into a different cultural setting did not result in a substantial loss of efficacy. |
| spellingShingle | Thew, G Kwok, A Lissillour Chan, M Powell, C Wild, J Leung, P Clark, D Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial |
| title | Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial |
| title_full | Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial |
| title_fullStr | Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial |
| title_full_unstemmed | Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial |
| title_short | Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: A randomised controlled trial |
| title_sort | internet delivered cognitive therapy for social anxiety disorder in hong kong a randomised controlled trial |
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