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…

j.j.ruwaard@vu.nl