Treating Adult Depression in Rural Areas Through Videoconferencing

Treating Adult Depression in Rural Areas Through Videoconferencing

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Cognitive therapy has been shown to be efficacious in the treatment of depression; however, access to psychological intervention is limited in rural areas. Technology such as videoconferencing has the potential to address this barrier, but there continues to be a gap in the literature on the subject of treating adult depression through videoconferencing. The primary purpose of this quantitative study was to determine the effectiveness of cognitive videotherapy for adults in rural areas who suffer from depression, focusing on clinical outcome (Beck's cognitive theory), working alliance (Bordin's working alliance theory), and client satisfaction. A single-participant, multiple-repeated measures design included 3 participants who completed self-report measures during an initial assessment, 1-week baseline, 6 sessions of cognitive videotherapy, and 1-month follow-up. Clinical significance, graphical analysis, and effect size were used as the primary data analysis. Results showed reliable and clinically significant reductions in symptom severity and improved global functioning for 2 participants. These results were maintained at 1 month, with 1 participant showing improvement. The third participant did not improve, with deterioration at 1 month. A high level of working alliance and client satisfaction was found for all participants. The results of this study provide initial support for the use of cognitive videotherapy as an effective method of delivering psychological intervention to adults in rural areas who suffer from depression. The social change implication of this research lies in its potential for providing a means of improving the lives of adults suffering from depression in rural Newfoundland by increasing access to psychological services not otherwise available.(1979) treatment manual. Cognitive therapy was ... Videoconferencing: for this study, videoconferencing consisted of the connection of two sites through a secure, intranet T1 line at 300-600 kbits per second. The equipment included two Polycom Viewstation videoconferencing systems connected to 32-inch televisions.

Title:Treating Adult Depression in Rural Areas Through Videoconferencing
Author:Tracey M. Scott
Publisher:ProQuest - 2008


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