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Manage Your Life Online: A Web-Based Randomized Controlled Trial Evaluating the Effectiveness of a Problem-Solving Intervention in a Student Sample

Published online by Cambridge University Press:  25 January 2018

Timothy Bird ,
Warren Mansell ,
Jason Wright ,
Hannah Gaffney  and
Sara Tai
Timothy Bird*
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK
Warren Mansell
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK
Jason Wright
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK
Hannah Gaffney
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK
Sara Tai
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK
*
Correspondence to Timothy Bird, School of Health in Social Science, University of Edinburgh, Doorway 6, Medical School, Teviot Place, Edinburgh EH8 9AG. E-mail: [email protected]
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Abstract

Background: Evidence for the efficacy of computer-based psychological interventions is growing. A number of such interventions have been found to be effective, especially for mild to moderate cases. They largely rely on psychoeducation and ‘homework tasks’, and are specific to certain diagnoses (e.g. depression). Aims: This paper presents the results of a web-based randomized controlled trial of Manage Your Life Online (MYLO), a program that uses artificial intelligence to engage the participant in a conversation across any problem topic. Method: Healthy volunteers (n = 213) completed a baseline questionnaire and were randomized to the MYLO program or to an active control condition where they used the program ELIZA, which emulates a Rogerian psychotherapist. Participants completed a single session before completing post-study and 2-week follow-up measures. Results: Analyses were per protocol with intent to follow-up. Both programs were associated with improvements in problem distress, anxiety and depression post-intervention, and again 2 weeks later, but MYLO was not found to be more effective than ELIZA. MYLO was rated as significantly more helpful than ELIZA, but there was no main effect of intervention on problem resolution. Conclusions: Findings are consistent with those of a previous smaller, laboratory-based trial and provide support for the acceptability and effectiveness of MYLO delivered over the internet for a non-clinical sample. The lack of a no-treatment control condition means that the effect of spontaneous recovery cannot be ruled out.

Keywords

non-clinicalself-helpcCBTtreatment outcome
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 5 , September 2018 , pp. 570 - 582
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

Andersson, G., Carlbring, P., Ljotsson, B. and Hedman, E. (2013). Guided internet-based CBT for common mental disorders. Journal of Contemporary Psychotherapy, 43, 223–233.Google Scholar
Andrews, G. and Titov, N. (2009). Hit and miss: innovation and the dissemination of evidence based psychological treatments. Behaviour Research and Therapy, 47, 974–979.Google Scholar
Carey, T. A. (2006). The Method of Levels: How to do Psychotherapy Without Getting in the Way. Hayward, CA: Living Control Systems.Google Scholar
Carey, T. A., Carey, M., Mullan, R. J., Spratt, C. G. and Spratt, M. B. (2009). Assessing the statistical and personal significance of the Method of Levels. Behavioural and Cognitive Psychotherapy, 37, 311–324.Google Scholar
Carey, T. A. and Mullan, R. J. (2007). Patients taking the lead. A naturalistic investigation of a patient-led approach to treatment in primary care. Counselling Psychology Quarterly, 20, 27–40.Google Scholar
Carey, T. A. and Mullan, R. J. (2008). Evaluating the method of levels. Counselling Psychology Quarterly, 21, 247–256.Google Scholar
Christensen, H., Griffiths, K. M., MacKinnon, A. J. and Brittliffe, K. (2006). Online randomized controlled trial of brief and full cognitive behaviour therapy for depression. Psychological Medicine, 36, 1737–1746.Google Scholar
Clarke, M. (2007). Standardising outcomes for clinical trials and systematic reviews. Trials, 8 (39).Google Scholar
Engels, J. M. and Diehr, P. (2003). Imputation of missing longitudinal data: a comparison of methods. Journal of Clinical Epidemiology, 56, 968–976.Google Scholar
Gaffney, H., Mansell, W., Edwards, R. and Wright, J. (2014). Manage Your Life Online (MYLO): a pilot trial of a conversational computer-based intervention for problem solving in a student sample. Behavioural and Cognitive Psychotherapy, 42, 731–746.Google Scholar
Hedman, E., Ljotsson, B. and Lindefors, N. (2012). Cognitive behavior therapy via the internet: a systematic review of applications, clinical efficacy and cost-effectiveness. Expert Review of Pharmacoeconomics and Outcomes Research, 12, 745–764.Google Scholar
Higginson, S., Mansell, W. and Wood, A. M. (2011). An integrative mechanistic account of psychological distress, therapeutic change and recovery: the Perceptual Control Theory approach. Clinical Psychology Review, 31, 249–259.Google Scholar
Johansson, R. and Andersson, G. (2012). Internet-based psychological treatments for depression. Expert Review of Neurotherapeutics, 12, 861–870.Google Scholar
Kessler, D., Lewis, G., Kaur, S., Wiles, N., King, M. and Weich, S. (2009). Therapist-delivered internet psychotherapy for depression in primary care: a randomised controlled trial. Lancet, 374, 628–634.Google Scholar
Lovibond, P. F. and Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343.Google Scholar
Mansell, W. (2005). Control theory and psychopathology: an integrative approach. Psychology and Psychotherapy: Theory, Research and Practice, 78, 141–178.Google Scholar
Mansell, W., Harvey, A., Watkins, E. and Shafran, R. (2009). Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy, 23, 6–19.Google Scholar
Marshall, M., Lockwood, A., Bradley, C., Adams, C., Joy, C. and Fenton, M. (2000). Unpublished rating scales: a major source of bias in randomised controlled trials of treatments for schizophrenia. British Journal of Psychiatry, 176, 249–252.Google Scholar
McManus, F., Shafran, R. and Cooper, S. (2010). What does a transdiagnostic approach have to offer the treatment of anxiety disorders? British Journal of Clinical Psychology, 49, 491–505.Google Scholar
Palmqvist, B., Carlbring, P. and Andersson, G. (2007). Internet-delivered treatments with or without therapist input: does the therapist factor have implications for efficacy and cost? Expert Review of Pharmacoeconomics and Outcomes Research, 7, 291–297.Google Scholar
Posternak, M. A. and Miller, I. (2001). Untreated short-term course of major depression: a meta-analysis of outcomes from studies using wait-list control groups. Journal of Affective Disorders, 66, 139–146.Google Scholar
Powers, W. T. (1973). Behaviour: The Control of Perception. Escondido, CA: Benchmark.Google Scholar
Powers, W. T., Clark, R. and McFarland, R. (1960). A general feedback theory of human behavior. Part II. Perceptual and Motor Skills, 11, 309–323.Google Scholar
Proudfoot, J., Goldberg, D., Mann, A., Everitt, B., Marks, I. and Gray, J. (2003). Computerised, interactive, multi-media cognitive behavioural program for anxiety and depression in general practice. Psychology Medicine, 33, 217–227.Google Scholar
Proudfoot, J., Ryden, C., Everitt, B., Shapiro, D. A., Goldberg, D., Mann, A. et al. (2004). Clinical efficacy of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry, 185, 46–54.Google Scholar
Rogers, C. R. (1957). The necessary and sufficient conditions for therapeutic personality change. Journal of Counseling Psychology, 21, 95–103.Google Scholar
Shaw, S. C., Marks, I. M. and Toole, S. (1999). FearFighter: lessons from pilot tests of computer self help for agora/claustrophobia and panic. MD Computing, 16, 44–48.Google Scholar
Spek, V., Cuijpers, P., Nyklicek, I., Riper, H., Keyzer, J. and Pop, V. (2007). Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine, 37, 319–328.Google Scholar
Weizenbaum, J. (1966). Computational linguistics. Communications of the ACM, 9, 36–45.Google Scholar
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