Internet-Based Cognitive Behavioral Therapy for Chronic Fatigue Syndrome Integrated in Routine Clinical Care: Implementation Study.

ABSTRACT:

Background

In a clinical trial, internet-based cognitive behavioral therapy (I-CBT) embedded in stepped care was established as noninferior to face-to-face cognitive behavioral therapy (CBT) for chronic fatigue syndrome (CFS). However, treatment effects observed in clinical trials may not necessarily be retained after implementation.

Objective

This study aimed to investigate whether stepped care for CFS starting with I-CBT, followed by face-to-face CBT, if needed, was also effective in routine clinical care. Another objective was to explore the role of therapists' attitudes toward electronic health (eHealth) and manualized treatment on treatment outcome.

Methods

I-CBT was implemented in five mental health care centers (MHCs) with nine treatment sites throughout the Ne

SUBMITTER: Worm-Smeitink M 

PROVIDER: S-EPMC6914231 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature