Shyness Programme: Longer Term Benefits, Cost-Effectiveness, and Acceptability

Author:

Titov Nickolai12,Andrews Gavin12,Johnston Luke12,Schwencke Genevieve3,Choi Isabella12

Affiliation:

1. School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia

2. CRUFAD at St Vincents Hospital, 299 Forbes Street, Darlinghurst, NSW, 2010, Australia

3. St Vincent's Hospital, Sydney, New South Wales, Australia

Abstract

Objective: In two randomized controlled trials Titov et al. demonstrated significant benefit from an Internet- and email-based treatment programme for social phobia: the Shyness programme. Data are presented about the longer term outcomes (6 months after treatment), cost-effectiveness relative to face-to-face treatment, and the acceptability of the programme to participants. Method: Participants completed outcome and acceptability questionnaires at 6 months after treatment. Repeated measures analyses of variance were calculated using an intention-to-treat design. Cost-effectiveness in years lived with disability averted were calculated based on between-group effect sizes. Results: A total of 59% of treatment group participants completed the 6 month follow-up questionnaires. Between post-treatment and 6 month follow up participants continued to make improvements in symptoms of social phobia, while maintaining improvements in mood, psychological distress, and disability. At 6 month follow up the mean within-group effect size (Cohen's d) for the two social phobia measures increased from 1.2 to 1.4. Cost-effectiveness in years lived with disability (YLD) averted was calculated as one-quarter that of face-to-face group treatment, or $AUD1495 for one YLD gained, compared to $AUD5686/YLD gained. Participants rated the Internet treatment to be as effective and helpful as face-to-face treatment. Conclusions: The present results confirm the reliability of the short-term findings reported in the first two Shyness programmes. The procedure appears to be very cost-effective, and acceptable to participants. These data provide further support for the development of Internet-based virtual clinics for common mental disorders.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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