J. Boettcher, GermanyPsychologische Hochschule linical Psychology and Psychotherapy
Moderator Of 1 Session
Proposed by the EPA Section on Psychotherapy -This symposium will present current knowledge, development and clinical experiences on internet-based cognitive behavioural therapy (ICBT) developed in various settings and countries. Presentations include a description of the journey towards national implementation of ICBT and its outcomes in Sweden (MK), of individually tailored ICBT with different modes of delivery and different degrees of therapist support. Moreover, a presentation by VK include Adaptive Treatment Strategies, where a wide range of data before and during treatment are processed by an AI-driven clinical decision support tool guiding the adaption of therapist-guided ICBT at the individual level. Another presentation (KM) will describe the implementation of a national ICBT clinic in Denmark, from the first initial steps through to becoming a national service. Current evidence of effectiveness and implementation efforts conducted at the clinic. JB will report on a pilot study comparing online versus face-to-face transdiagnostic therapy in Arabic-speaking refugees. She will describe the different aspects of tailoring treatment contents in these two settings and discuss potential advantages of a tailored approach for the specific patient population.
Presenter Of 2 Presentations
S0042 - Experiences with Tailoring Treatment Modules in Internet-based and Face-to-face Treatments for Refugees
Guided self-help interventions are effective in treating symptoms of various mental disorders, including depressive, anxiety, and posttraumatic stress disorders. Research also suggests that these interventions may be effective for refugee populations. However, proportion of drop-out and non-response are substantial, especially in this highly vulnerable group of patients. Tailoring treatments to the individual patient may be an important step towards improving patient-treatment fit and may help to increase success rates. While tailoring can be easily realized in face-to-face treatments, it becomes more complex in Internet-based treatments where treatment sequences are usually defined in advance.
In this talk, we will present our theoretical considerations and decisions regarding the tailoring process in a randomized-controlled comparison of transdiagnostic CBT for refugee patients in an online versus face-to-face format. The trial will include N=320 Arabic speaking patients suffering from an emotional disorder. The transdiagnostic treatment includes modules for symptoms of depression, anxiety, substance abuse, post-traumatic stress, aggression, and suicidal ideation. Modules are tailored to the specific patient. We will discuss who or what should inform the tailoring decision (patient, therapist, questionnaire data, diagnostic interview) and when tailoring decisions should be made (prior and/or early and/or later in treatment). We will present options of how tailoring decisions can be standardized and be kept comparable in different treatment formats. We will present our first experiences with tailoring treatment modules to severely impaired and highly comorbid patients.