effecten eggz dr. jeroen ruwaard vrije universiteit amsterdam
TRANSCRIPT
Effecten eGGZ
dr. Jeroen Ruwaard
Vrije Universiteit Amsterdam
Answering the question ‘Does Computer-Aided Psychotherapy work?’ is like answering the query ‘Do drugs work?’- Marks, Cavanagh &
Gega, 2007
GGZ
E-healthWhat Is eHealth (3): A Systematic Review of Published Definitions - Oh, Rizo, Enkin & Jadad (2005)
Concepts, definitions, and applications: The terminology chaos of Internet-supported psychotherapeutic interventions - Barak, A. (2013)
Jaar Auteur Klachtgebied d NNT
2007 Spek depressieangst
begeleid onbegeleid
0.21.0
1.0 0.2
82
2 7
2009 Andersson depressie begeleid
onbegeleid
0.4 0.6 0.3
4 3 7
2009 Cuijpers angst begeleid
ondersteund onbegeleid
1.0 1.4 1.0 0.8
21
2 2
2010 Andrews angstdepressie
0.8 0.8
22
2012 Richards depressie 0.6 3
Meta-analyse
No free lunch?
Cuijpers P, Marks IM, Van Straten A, Cavanagh K, Gega L, et al. (2009) Computer-aided psychotherapy for Anxiety Disorders: A meta-analytic review. Cogn Behav Ther 38(2): 66–82.
Implementatie
Ruwaard, J. (2013). The efficacy and effectiveness of online CBT. Amsterdam: Department of Clinical Psychology, University of Amsterdam. ISBN: 978-94-6191-588-7
9 RCT’sAantal N
Burnout 1 239
Boulimie 1 105
Depressie 1 54
Paniekstoornis 1 58
Posttraumatische stress
4 360
Seksueel trauma 1 24
9 840
Ruwaard, J., Lange, A., Schrieken, B. & Emmelkamp, P. (2011). Efficacy and Effectiveness of Online Cognitive Behavioral Treatment: A decade of Interapy Research. Annual Review of Cybertherapy and Telemedicine 2011. Advanced Technologies in Behavioral, Social and Neurosciences. B.K. Wiederhold, S. Bouchard and G. Riva. Amsterdam, The Interactive Media Institute and IOS Press: 9-14.
Werkzaam
PraktijkstudieN
Burnout 470
Depressie 413
Paniekstoornis 139
Posttraumatische stress
478
1500Ruwaard, J., Lange, A., Schrieken, B., Dolan, C.V. & Emmelkamp, P. (2012) The effectiveness of online cognitive behavioral treatment in routine clinical practice. PLoS One, doi: 10.1002/cpp.1767
Aanvangsklachten
> > > Onderzoek- - - Praktijk
Aangemeld n = 2965
No Shown=505
Screeningn = 2460
Gestopt
n = 599
Afgeweze
nn = 361
Gestartn =
1500
Afgerond71% (77%)
Dropout29% (23)%
Ter overweging (1)
Ter overweging (2)
Is computerised CBT really helpful for adult depression? A meta-analytic re-evaluation of CCBT for adult depression in terms of clinical implementation and methodological validity – So, Yamaguchi, Hashimoto, Sado, Furukawa, & McCrone (2013).
Is Working Memory Training effective? A meta-analytic review. - Melby-Lervåg, M. & Hulme, C. (2012)
En bovendien…