Aceptabilidad de un tratamiento vía internet para la agorafobia por pacientes y terapeutas

  1. María José Roca Sánchez 1
  2. Yolanda Beatriz Álvarez Pérez 2
  3. Wenceslao Peñate Castro 2
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    GRID grid.4489.1

  2. 2 Universidad de La Laguna
    info

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    GRID grid.10041.34

Journal:
Análisis y modificación de conducta

ISSN: 0211-7339

Year of publication: 2014

Volume: 40

Issue: 161-162

Pages: 29-41

Type: Article

Export: RIS

Abstract

Internet-based psychological treatments have had a great development. Online therapies are now available for most of disorders and psychological problems. These programs can vary not only in their contents, but also in its formal aspects (texts, videos, avatars ...), so that its acceptability (usability, learning, attractive ...) is not guaranteed and yet, acceptability is rarely assessed. The aim of this paper was to assess, by 15 therapists and 14 patients, a cognitive-behavioral internet-based treatment for agoraphobia (doctoragora.com/demo). A 10-item scale was developed and was formed by two components of acceptability (positive and negative). In general, both therapists and patients have a good acceptance of the program, although patients stated difficulties due to their complexity, and the need for greater learning. Therapists indicate that the program is very extensive. These results are discussed according to the need to assess acceptability prior to using any resource in telehealth.

Bibliographic References

  • Andersson, A. y Titov, N. (2014). Advantages and limitations of Internet-based interventions for common mental disorders. World Psychiatry, 13, 4–11.
  • Andrews, G., Cuijpers, P., Craske, M.G., McEvoy, P. y Titov, N. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS ONE, 5, e13196.
  • Antonacci, D. J., Bloch, R. M., Saeed, S. A., Yildirim, Y. y Talley, J. (2008). Empirical evidence on the use and effectiveness of telepsychiatry via videoconferencing: implications for forensic and correctional psychiatry. Behavioral Sciences & the Law, 26(3), 253e269.
  • Baumeister, H., Reichler, L., Munzinger, M. y Lin, J. (2014).The impact of guidance on internet-based mental health interventions a systematic review. Internet Interventions, 1(4), 205-215. Social Science & Medicine, 71, 1308-1315.
  • Bee, P. E., Lovell, K., Lidbetter, N., Easton, K. y Gask, L. (2010). You can’t get anything perfect: “User perspectives on the delivery of cognitive behavioural therapy by telephone”. Social Science & Medicine, 71, 1308-1315.
  • ESEMed (2004). Disability and quality of life impact of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica, 109, 38-46.
  • Froján-Parga, M. X., Galván-Domínguez, N., Izquierdo-Alfaro, I., Ruiz-Sancho, E. y Marchena-Giráldez, C. (2013). Análisis de las verbalizaciones desadaptativas del cliente y su relación con las verbalizaciones punitivas del terapeuta: un estudio de caso. Análisis y Modificación de Conducta, 39, 25-38.
  • Gun, S. Y., Titov, N. y Andrews, G. (2011). Acceptability of Internet treatment of anxiety and depression. Australas Psychriaty, 19, 259- 264.
  • Hommel, K. A., Hente, E., Herzer, M., Ingerski, L. M. y Denson, L. A. (2013). Telehealth behavioral treatment for medication nonadherence: a pilot and feasibility study. European Journal of Gastroenterology & Hepatology, 25, 469-73.
  • Kessler, R., Petukhova, M., Sampson, A., Zaslavky, A. y Wittchen, H. (2012). Twelve month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169-184.
  • Mitchell, J. E., Crosby, R. D., Wonderlich, S. A., Crow, S., Lancaster, K., Simonich, H., SwanKremeier, L., Lysne, C. y Myers, T. C. (2008). Behaviour Research and Therapy, 46, 581- 592.
  • Newman, M. G., Szkodny, L. E., Llera, S. J. y Przeworski, A. (2011). A review of techno- logy assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy?. Clinical Psychology Review, 31, 89-103.
  • Peñate, W. (2012). About the effectiveness of telehealth procedures in psychological treatments. International Journal of Clinical and Health Psychology, 12, 475-487.
  • Peñate, W., Roca Sanchez, M. J., Pitti, C. T., Bethencourt, J. M., de la Fuente, J. A. y Gracia, R. (2014). Cognitive-behavioral treatment and antidepressants combined with virtual reality exposure for patients with chronic agoraphobia. International Journal of Clinical and Health Psychology, 14, 330–338.
  • Peñate, W., Roca-Sánchez, M. J. y Del PinoSedeño, T. (2014). Los nuevos desarrollos tecnológicos aplicados al tratamiento psicológico. Acta Colombiana de Psicología, 17, 91-101.
  • Pitti, C. T., Peñate, W., de la Fuente, J., Bethencourt, J. M., Roca-Sánchez, M. J., Acosta, L., Villaverde, M. L. y Gracia, R. (2015, en prensa). The combined use of virtual reality exposure in the treatment of agoraphobia. Actas Españolas de Psiquiatría.
  • Richards, D. y Richardson, T. (2012). Computerbased psychological treatments for depression: a systematic review and meta-analysis. Clinical Psychology Review, 32, 329-342.
  • Rush, B. y Scott, R. E. (2004). Approved Telehealth Outcome Indicator Guidelines: Quality, Access, Acceptability and Cost. Calgary Health Telematics Unit,University of Calgary.
  • Van Ballegooijen, W., Cuijpers, P., van Straten, A., Karyotaki, E. y Andersson, G. (2014). Adherence to Internet-Based and Face-to-Face Cognitive Behavioural Therapy for Depression: A Meta-Analysis. PLoS ONE, 9, e100674.
  • Wilson, G.T. (1996). Manual-based treatments: The clinical application of research findings. Behaviour Research and Therapy, 34, 295- 314.
  • Wilson, G. T. (1997). Treatment manuals in clinical practice. Behaviour Research and Therapy, 35, 205-210.
  • Wootton, B. M., Titov, N., Dear, B. F., Spence, J. y Kemp, A. (2011). The acceptability of Internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: an Internet survey. PLoS One, 6, e20548.
  • Yuen, E. K., Herbert, J. D., Forman, E. M., Goetter, E. M., Juarascio, A. S., Rabin, S., Goodwin, C. y Bouchard, S. (2013). Acceptance based behavior therapy for social anxiety disorder through videoconferencing. Journal of Anxiety Disorders, 27, 389-397.