Core question
How can we increase access to psychological treatments for mental disorders while at the same time maintaining quality and efficacy?
ICBT
App-based treatments
Advantages
- Can collect other types of data
- Monitoring mood more closely
- Location (timely reminders when you get home or get to work)
- Activity (e.g., sleep schedule and lack of physical activity)
- Easy access throughout the day, no need to log onto a website
Current issues
Despite often claiming to be evidence-based, few apps designed to treat common mental disorders have direct evidence to support their efficacy - [@larsen2019]
The effect sizes associated with app-based treatments are generally smaller than face-to-face or ICBT - [@linardon2019]
Mental health apps often share data with third parties without properly disclosing it - [@huckvale2019]
Stratified care
The argument here is that we have (semi)automated treatment selection so that patients go into therapy quicker. For example selecting between low- and high-intensity treatments rather than putting everyone through stepped care
Delgadillo2022 - Stratified Care vs Stepped Care for Depression, A Cluster Randomized Clinical Trial