Video call-based cognitive behaviour therapy for adults with common mental health conditions: A systematic review

Ebrahimjee, Anisah, Hodsoll, John, Valmaggia, Lucia, Hickling, Lauren M. and Riches, Simon (2024) Video call-based cognitive behaviour therapy for adults with common mental health conditions: A systematic review. Cognitive Behaviour Therapist, 17. ISSN 1754-470X

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Abstract

Implementation of video call-based cognitive behavioural therapy (CBT) has increased significantly since the COVID-19 pandemic, enabling more flexible delivery, but less is known about user experience and effectiveness. This systematic review and meta-analysis investigated feasibility, acceptability, and effectiveness of individual video call-based CBT for adults with mild to moderate mental health conditions (Prospero CRD42021291055). Medline, Embase, PsycINFO and Web of Science were searched until 4 September 2023. The Effective Public Health Practice Project Quality Assessment Tool (EPHPP) assessed methodological quality of studies. Meta-analysis was conducted in R. Thirty studies (n=3275), published 2000 to 2022, mainly in the USA (n=22/30, 73%), were included. There were 15 randomised control trials, one controlled clinical trial, and 14 uncontrolled studies. Findings indicated feasibility, acceptability and effectiveness (effect size range 0.02–8.30), especially in post-traumatic stress disorder (PTSD) for military populations. Other studies investigated depression, obsessive-compulsive disorder, panic with agoraphobia, insomnia, and anxiety. Studies indicated that initial challenges with video call-based CBT subsided as therapy progressed and technical difficulties were managed with limited impact on care. EPHPP ratings were strong (n=12/30, 40%), moderate (n=12/30, 40%), and weak (n=6/30, 20%). Meta-analysis on 12 studies indicated that the difference in effectiveness of video call-based CBT and in-person CBT in reducing symptoms was not significant (SMD=0.044; CI=–0.086; 0.174). Video calls could increase access to CBT without diminishing effectiveness. Limitations include high prevalence of PTSD studies, lack of standardised definitions, and limited studies, especially those since the COVID-19 pandemic escalated use of video calls.

Item Type:	Article
Additional Information:	Data availability statement: The data that support the findings of this study are available from the corresponding author upon reasonable request. Acknowledgements: John Hodsoll and Lucia Valmaggia received salary support from the National Institute of Health Research (NIHR) Maudsley Biomedical Research Centre (BRC) at South London and Maudsley NHS Foundation Trust (SLaM) and King’s College London (KCL). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.
Uncontrolled Keywords:	cbt,anxiety,depression,digital mental health,healthtech,mild to moderate mental health conditions,online psychotherapy,psychological therapy,telehealth,videoconferencing,experimental and cognitive psychology,clinical psychology,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3200/3205
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	04 Mar 2025 15:30
Last Modified:	10 Mar 2025 09:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/98660
DOI:	10.1017/S1754470X2400028X

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